JEFFERSON CITY MEDICAL GROUP PC NPI 1457763633

NPI Information

NPI: 1457763633
Provider Name: JEFFERSON CITY MEDICAL GROUP, PC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-5264
Get Directions

JEFFERSON CITY MEDICAL GROUP, PC is a multi-specialty clinic center in Jefferson City, MO. JEFFERSON CITY MEDICAL GROUP, PC NPI is 1457763633. The provider is registered as an organization entity type.

The provider's business location address is:

1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109-023
Phone: (573) 635-5264

The provider's authorized official is Jeffrey Lee Patrick .
The authorized official title is President and has the following contact phone number (573) 635-5264.

The enumeration date for this NPI number is 5/22/2014 and was last updated on 12/26/2018.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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