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CAPITAL REGION MEDICAL CENTER NPI 1104001676


NPI Information

NPI: 1104001676
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
420 E HIGH ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 635-0916
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CAPITAL REGION MEDICAL CENTER is a family medicine in Jefferson City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAPITAL REGION MEDICAL CENTER NPI is 1104001676. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Region Physicians - Family Medical Center.

The provider's business location address is:

420 E HIGH ST
JEFFERSON CITY, MO
ZIP 65101-215
Phone: (573) 635-0916
Fax: (573) 635-8812

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

The enumeration date for this NPI number is 1/3/2008 and was last updated on 8/23/2013.


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
1207Q00000XFamily MedicineYes

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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