# PHELPS COUNTY REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1366066037
- **Authorized official:** JANA MARIE COOK (SR. VP/CFO)
- **Authorized official phone:** (573) 458-7916

## Contact information

- **Practice address:** 1050 W 10TH ST, ROLLA, MO 65401-2905
- **Practice address phone:** (573) 364-9000
- **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:** 05/29/2020
- **Last updated:** 02/01/2023