PCRMC MEDICAL GROUP, INC (NPI# 1457799520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457799520 |
| Entity Type | Organization |
| Organization Name | PCRMC MEDICAL GROUP, INC |
| Other Organization Name | PHELPS HEALTH MEDICAL GROUP ST JAMES |
| Practice Address |
1000 N Jefferson Street St. James MO 65559-1078 |
| Mailing Address |
Po Box 579 Rolla MO 65402 |
| Practice Telephone | 5732658840 |
| Practice Fax Number | 5732658884 |
| Mailing Telephone | 5734262182 |
| Mailing Fax Number | 5734265341 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | JANA M COOK (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5734587916 |
| Is Organization Subpart | Y |
| Parent Organization Name | PCRMC MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phelps Health Medical Group St James | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1194077701 | Pcrmc Medical Group, Inc | Clinic/Center | 1415 W Scenic Rivers Blvd, Salem, MO 65560-2840 | 2012-10-05 |
| 1114235041 | Pcrmc Medical Group, Inc | Clinic/Center | 606 Highway 63 S, Vienna, MO 65582-8101 | 2010-09-14 |
| 1124237227 | Pcrmc Medical Group, Inc | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2007-05-22 |
| Street Address |
1000 N JEFFERSON STREET |
| City | ST. JAMES |
| State | MO |
| Zip Code | 65559-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
| 1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
| 1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
| 1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
| 1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
| 1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
| 1790895100 | St. James Ambulance District | Ambulance | 203 S. Louise, St. James, MO 65559 | 2006-08-30 |
| 1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
| Find all providers in zip 65559 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.