Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Other names
Phelps Health
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHENEFIELD (CEO)
(573) 458-7975
Entity
Organization
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Mailing address
PO BOX 220, ROLLA, MO 65402-0220
(734) 588-8995
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
14-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800419103
—
MO
Enumeration date
12/27/2006
Last updated
09/28/2021
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