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Contact Information

PHELPS COUNTY REGIONAL MEDICAL CENTER
1206 HOMELIFE DR.
ROLLA, MO65401
 Phone: 357-364-2007
 Fax: 573-364-8695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PHELPS COUNTY REGIONAL MEDICAL CENTER

NPI # 1376648725
LBN Legal business name PHELPS COUNTY REGIONAL MEDICAL CENTER
Authorized official KATHERINE HUNTER - (CLINIC COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2006
Last updated 07/15/2008 - About 18 years ago
Identifiers
MO License # 20020110
MO Medicaid 499035616
MO Other 20020110 MO STATE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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