PHELPS COUNTY REGIONAL MEDICAL CENTER
NPI 1427506039
General Acute Care Hospital - Rural in Rolla, MO

NPI Status: Active since September 13, 2016

Contact Information

1000 W 10TH ST
ROLLA, MO
ZIP 65401
Phone: (573) 458-8899
Fax: (573) 458-8330

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  • Organization
  • General Acute Care Hospital
  • Rural
  • CLIA Number: 26D2001576
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 12-21-2025

About PHELPS COUNTY REGIONAL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Phelps County Regional Medical Center, a provider established in Rolla, Missouri operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1427506039 assigned on September 2016. The practitioner's primary taxonomy code is 282NR1301X with license number 260017 (MO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Catherine Eikermann Mj Msn (Compliance Officer)

NPI
1427506039
Provider Name
PHELPS COUNTY REGIONAL MEDICAL CENTER
Entity Type
Organization
Location Address
1000 W 10TH ST ROLLA, MO 65401
Location Phone
(573) 458-8899
Location Fax
(573) 458-8330
Mailing Address
1000 W 10TH ST ROLLA, MO 65401
Mailing Phone
(573) 458-8899
Mailing Fax
(573) 458-8330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2016
Last Update Date
09-13-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals
License No.
260017
License State
MO

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CATHERINE EIKERMANN MJ MSN

Authorized Official Title
COMPLIANCE OFFICER
Authorized Official Phone
(573) 458-7618

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2001576
Facility Type
Prison
Certificate Effective Date
December 22, 2023
Certificate Expiration Date
December 21, 2025
Laboratory Director
WILLIAM A. COOPER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Phelps County Regional Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427506039
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471001206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 0 + 0 + 1 + 2 + 0 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1427506039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861472136MR. MICHAEL J BURNS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1720058647MS. KAREN M ZANG CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1558331843MR. KEVIN G PICKENS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1104869221 FRANK M. ELDERS D.O.
Individual
Emergency Medicine1000 W 10TH ST
ROLLA, MO 65401
(573) 364-3100
1255374666 DAVID LAMONT WHITE M.D.
Individual
Emergency Medicine1000 W 10TH ST
ROLLA, MO 65401
(573) 364-3100
1619910742MR. JESSE D IRWIN ATC
Individual
Specialist/Technologist (Athletic Trainer)1000 W 10TH ST
ROLLA, MO 65401
(573) 230-6703
1730106428 ALLAN L PLAPP CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1942223813 HELEN LITZ NP
Individual
Nurse Practitioner1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1548284821 KIRK DAVIS NP
Individual
Nurse Practitioner1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1326057365PALMARIS IMAGING, LLC
Organization
Radiology (Diagnostic Radiology)1000 W 10TH ST DEPT. OF RADIOLOGY
ROLLA, MO 65401
(636) 728-2222
1598867053DR. PAUL D COOK D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1000 W 10TH ST DEPT. OF PATHLOGY
ROLLA, MO 65401
(573) 458-7057
1619064037 MAREK DOMANSKI MD
Individual
Anesthesiology1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1174682272 CHARLES BOONE CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1538373899MEDICAL LABORATORY SERVICES, INC.
Organization
Specialist1000 W 10TH ST
ROLLA, MO 65401
(573) 364-2227
1699973362MR. ANACLETO R BENITO JR. PT
Individual
Physical Therapist1000 W 10TH ST
ROLLA, MO 65401
(573) 458-7140
1225290828 JASON ANTHONY COREY CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1922237957 JAMES H COLENCH CRNA
Individual
Nurse Anesthetist, Certified Registered1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1215266382 PEGGY TAYLOR RN
Individual
Registered Nurse (Wound Care)1000 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1356659569 FRANCINE DIANE MEEK FNP
Individual
Nurse Practitioner (Family)1000 W 10TH ST STE A
ROLLA, MO 65401
(573) 364-5633
1891917068DR. KAREN SUE JILES D.O.
Individual
Emergency Medicine1000 W 10TH ST
ROLLA, MO 65401
(573) 458-7800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427506039, enumerated in the NPI registry as an "organization" on September 13, 2016

The provider is located at 1000 W 10th St Rolla, Mo 65401 and the phone number is (573) 458-8899

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NR1301X with a focus in Rural

The provider's CLIA number is 26D2001576 for a "prison" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 13, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.