PCRMC MEDICAL GROUP, INC
NPI 1124237227
Clinic/Center in Rolla, MO
NPI Status: Active since May 22, 2007
Contact Information
1050 W 10TH ST
ROLLA, MO
ZIP 65401
Phone: (573) 364-9000
Fax: (573) 458-3952
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 26D2053558
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-03-2027
About PCRMC MEDICAL GROUP, INC
This page provides the complete NPI Profile along with additional information for Pcrmc Medical Group, Inc, a provider established in Rolla, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124237227 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's
- NPI
- 1124237227
- Provider Legal Name
- PCRMC MEDICAL GROUP, INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1050 W 10TH ST ROLLA, MO 65401
- Location Phone
- (573) 364-9000
- Location Fax
- (573) 458-3952
- Mailing Address
- PO BOX 579 ROLLA, MO 65402
- Mailing Phone
- (573) 426-2182
- Mailing Fax
- (573) 458-3952
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 03-02-2026
- Code Navigator
Location Map
Secondary Locations
- 1000 W 10th St
Rolla, MO 65401
(573) 364-9000 - 603 S Bishop Ave
Rolla, MO 65401
(573) 426-4411 - 1428 E State Hwy 72
Rolla, MO 65401
(573) 364-1014 - 35629 Highway 72
Salem, MO 65560
(855) 406-3324 - 1415 W Scenic Rivers Blvd
Salem, MO 65560
(573) 729-5533 - 1000 N Jefferson St
Saint James, MO 65559
(573) 265-8840 - 1060 W 10th St
Rolla, MO 65401
(855) 406-3324 - 600 Blues Lake Pkwy
Rolla, MO 65401
(573) 364-8822 - 1201 Hauck Dr
Rolla, MO 65401
(573) 364-8818 - 1000 Gw Ln
Waynesville, MO 65583
(573) 774-2715 - 1422 S Sam Houston Blvd
Houston, MO 65483
(573) 364-9000
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 591072301 | MEDICAID (05) | MO | |
| 507013605 | MEDICAID (05) | MO |
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
- 26D2053558
- Facility Type
- Physician Office
- Certificate Effective Date
- February 04, 2025
- Certificate Expiration Date
- February 03, 2027
- Laboratory Director
- WESLEY HARDEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pcrmc Medical Group, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124237227, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROLLA, MO 65401
ROLLA, MO 65401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124237227, enumerated as an "organization" on May 22, 2007.
The provider is located at 1050 W 10TH ST ROLLA, MO 65401 and the phone number is (573) 364-9000.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
