| Phelps County Regional Medical Center | |
|
1202 Homelife Drive Rolla MO 65401 | |
| (573) 308-5952 | |
| Not Available |
| Full Name | Phelps County Regional Medical Center |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1202 Homelife Drive, Rolla, Missouri |
| Authorized Official Name and Position | John Denbo (CEO) |
| Authorized Official Contact | 5734587901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phelps County Regional Medical Center 1000 W 10th St Rolla MO 65401-2905 Ph: (573) 458-8800 | Phelps County Regional Medical Center 1202 Homelife Drive Rolla MO 65401 Ph: (573) 308-5952 |
| NPI Number | 1487829644 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487829644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 104 (Missouri) | Primary |
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