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CAPITAL REGION MEDICAL CENTER NPI 1023081767


NPI Information

NPI: 1023081767
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION CORPORATE HEALTH CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1500 SOUTHWEST BLVD
STE C
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-5786
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CAPITAL REGION MEDICAL CENTER is a multi-specialty clinic center in Jefferson City, MO. CAPITAL REGION MEDICAL CENTER NPI is 1023081767. The provider is registered as an organization entity type.
The provider Is Doing Business As Capital Region Corporate Health Clinic.

The provider's business location address is:

1500 SOUTHWEST BLVD
STE C
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 632-5786
Fax: (573) 632-5833

The provider's authorized official is James R Mcmillan .
The authorized official title is Vp Finance and has the following contact phone number (573) 632-5100.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-Specialty4199MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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