Pcrmc Medical Group, Inc
NPI 1114235041 · Rural Health Clinic/Center · Vienna, MO
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pcrmc Medical Group, Inc is a Rural Health Clinic/Center organization in Vienna, MO (NPI 1114235041).
Provider details
- NPI number
- 1114235041
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pcrmc Medical Group, Inc
- Organization subpart
- Yes
- Authorized official
- Jana Cook, Vp, Chief Financial Officer(573) 458-7916
- License
- 2007024375 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Phelps Health Medical Group Vienna
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2019-01-17
Frequently asked questions
- What is Pcrmc Medical Group, Inc's NPI number?
- Pcrmc Medical Group, Inc's National Provider Identifier (NPI) is 1114235041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcrmc Medical Group, Inc?
- Pcrmc Medical Group, Inc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pcrmc Medical Group, Inc located?
- Pcrmc Medical Group, Inc's practice location on file with NPPES is 606 Highway 63 S, Vienna, MO 65582-8101.
- What is Pcrmc Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Pcrmc Medical Group, Inc is (573) 422-3636.
- Does Pcrmc Medical Group, Inc accept Medicare?
- Pcrmc Medical Group, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pcrmc Medical Group, Inc?
- The authorized official listed on Pcrmc Medical Group, Inc's NPPES record is Jana Cook, Vp, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcrmc Medical Group, Inc's NPI active?
- Yes — Pcrmc Medical Group, Inc's NPI (1114235041) is active in the NPPES registry as of the last update on 2019-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.