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.

MR. MICHAEL J BURNS CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

MS. KAREN M ZANG CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

MR. KEVIN G PICKENS CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

FRANK M. ELDERS D.O.

Emergency Medicine

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 364-3100

DAVID LAMONT WHITE M.D.

Emergency Medicine

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 364-3100

MR. JESSE D IRWIN ATC

Specialist/Technologist

(Athletic Trainer)

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 230-6703

ALLAN L PLAPP CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

HELEN LITZ NP

Nurse Practitioner

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

KIRK DAVIS NP

Nurse Practitioner

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

PALMARIS IMAGING, LLC

Radiology

(Diagnostic Radiology)

1000 W 10TH ST
DEPT. OF RADIOLOGY
ROLLA, MO
ZIP 65401

(636) 728-2222

DR. PAUL D COOK D.O.

Pathology

(Anatomic Pathology & Clinical Pathology)

1000 W 10TH ST
DEPT. OF PATHLOGY
ROLLA, MO
ZIP 65401

(573) 458-7057

MAREK DOMANSKI MD

Anesthesiology

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

CHARLES BOONE CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

MEDICAL LABORATORY SERVICES, INC.

Specialist

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 364-2227

MR. ANACLETO R BENITO JR. PT

Physical Therapist

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-7140

JASON ANTHONY COREY CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

JAMES H COLENCH CRNA

Nurse Anesthetist, Certified Registered

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

PEGGY TAYLOR RN

Registered Nurse

(Wound Care)

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-8899

FRANCINE DIANE MEEK FNP

Nurse Practitioner

(Family)

1000 W 10TH ST
STE A
ROLLA, MO
ZIP 65401

(573) 364-5633

DR. KAREN SUE JILES D.O.

Emergency Medicine

1000 W 10TH ST
ROLLA, MO
ZIP 65401

(573) 458-7800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427506039, enumerated 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.

General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.