Phelps County Clerk

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

N/A Issued in MO

Legal business name

PHELPS COUNTY CLERK

Doing business as

Phelps County Health Department

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

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephine P Waltman, MS, MED, CPNP

Title

Administrator

Phone

(573) 458-6010

Specialties & licenses 1

Addresses

Other names 1

• Phelps County Health Department Doing business as

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

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1427051069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "STE G51",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013070",
            "telephone_number": "573-458-6010",
            "fax_number": "573-458-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "STE G51",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013070",
            "telephone_number": "573-458-6010",
            "fax_number": "573-458-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS COUNTY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "WALTMAN",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-458-6010",
        "authorized_official_credential": "MS, MED, CPNP"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MO",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Pernoud, DDS
• Peterson Family Chiropractic and Wellness Center
• Diane M Peterson, DC
• Keith A Peterson, DC
• PG Optical LLC
• Phelps County Industrial Solutions Inc
• Phelps County Regional Medical Center
• Phelps County Regional Medical Center (Phelps Health)
• Phelps County Regional Medical Center (Phelps Health Medical Group)
• Phelps County Regional Medical Center (Phelps Health)

• State or Local Public Health Clinic/Center in Rolla, MO
• Providers in Rolla, MO by specialty
• State or Local Public Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.