# PHELPS COUNTY REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phelps Health Medical Group, Phelps Health Medical Group Salem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194077701
- **Authorized official:** JANA MARIE COOK (CFO/SR VP)
- **Authorized official phone:** (573) 458-7916

## Contact information

- **Practice address:** 1415 W SCENIC RIVERS BLVD, SALEM, MO 65560-2840
- **Practice address phone:** (573) 729-5533
- **Practice address fax:** (573) 202-2466
- **Mailing address:** PO BOX 579, ROLLA, MO 65402-0579
- **Mailing address phone:** (573) 426-2182
- **Mailing address fax:** (573) 426-5341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 02/02/2023