Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phelps County Regional Medical Center

Organization Pediatrics Physician · NPI 1447430574

Phelps County Regional Medical Center provides Pediatrics Physician services in Waynesville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1000 Gw Ln
Waynesville, MO 65583-5401
Phone: (573) 774-2715
Fax: (573) 774-2792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2007024375 (MO)

Record details

NPI number1447430574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jana Cook — Cfo/Sr. Vp · (573) 458-7916
Other names Phelps Health Medical Group Waynesville
NPI enumeratedNovember 6, 2007
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing addressPo Box 579, Rolla, MO 65402-0579