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Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Other names
Phelps Health Medical Group Waynesville
Organization subpart
No
Provider details
NPI number
Authorized official
JANA MARIE COOK (CFO/SR. VP)
(573) 458-7916
Entity
Organization
Contact information
Practice address
1000 GW LANE, WAYNESVILLE, MO 65583-5401
(573) 774-2715
(573) 774-2792
Mailing address
PO BOX 579, ROLLA, MO 65402-0579
(573) 426-2182
(573) 426-5341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2007024375
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
Other
Enumeration date
11/06/2007
Last updated
02/02/2023
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