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Phelps County Clerk

Organization Active NPI State or Local Public Health Clinic/Center · Rolla, MO

NPI 1427051069 · NPPES record last updated Aug 15, 2007

Key facts

NPI
1427051069
Entity type
Organization (NPI type 2)
Primary specialty
State or Local Public Health Clinic/Center 261QP0905X
License
N/A (MO)
Legal business name
PHELPS COUNTY CLERK
Practice address
200 N Main St
Ste G51
Rolla, MO 65401-3070
Phone
(573) 458-6010
Fax
(573) 458-6060
NPI assigned
May 27, 2005
Organization subpart
No

Authorized official

Name
Josephine P Waltman, MS, MED, CPNP
Title
Administrator
Phone
(573) 458-6010

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0446845Phelps County Health Department
200 N Main St, Ste G-51, Rolla, MO 65401		Certificate of waiverFeb 21, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X N/A MO Yes

Addresses

Primary practice location

200 N Main St
Ste G51
Rolla, MO 65401-3070

Mailing address

200 N Main St
Ste G51
Rolla, MO 65401-3070
Phone (573) 458-6010

Other names

  • Phelps County Health Department Doing business as

Other providers in Rolla, MO

All providers in Rolla, MO · State or Local Public Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.