Phelps County Regional Medical Center
NPI 1578559076ActiveOrganization· Skilled Nursing Facility· Rolla, MO
Skilled Nursing Facility in Rolla, Missouri, registered in NPPES in September 2005, part of Phelps County Regional Medical Center. The authorized official on file is Jason Shenefield, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1578559076 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Phelps County Regional Medical Center |
| NPI issued | Sep 21, 2005 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1447 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MO) |
|---|
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