Phelps Health Medical Group Rolla

LBN: Pcrmc Medical Group, Inc
Phelps Health Medical Group Rolla is an health care organization with primary practice located at 1050 W 10Th St , Rolla MO 65401-2905. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pcrmc Medical Group, Inc can be contacted via phone (573) 364-9000, or through Cook, Jana M via phone (573) 458-7916.

Contact Information

Primary practice address
1050 W 10Th St Rolla MO 65401-2905
Phone: (573) 364-9000
Fax: (573) 458-3952
Website:
Map and Directions
Authorized official contact:
Name: Cook, Jana M
Phone: (573) 458-7916

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1124237227
LBN Legal business name Pcrmc Medical Group, Inc
DBA Doing business as Phelps Health Medical Group Rolla
Authorized official Cook, Jana M
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Nov 22nd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124237227 NPPES
Missouri MEDICAID 507013605
Missouri MEDICAID 591072301

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