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JEFFERSON CITY MEDICAL GROUP P.C. NPI 1477618486


NPI Information

NPI: 1477618486
Provider Name: JEFFERSON CITY MEDICAL GROUP, P.C.

Doing Business As: JCMG INFUSION

Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-5264
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JEFFERSON CITY MEDICAL GROUP, P.C. is an infusion therapy clinic center in Jefferson City, MO. JEFFERSON CITY MEDICAL GROUP, P.C. NPI is 1477618486. The provider is registered as an organization entity type.
The provider Is Doing Business As Jcmg Infusion.

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 12/27/2006 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
1261QI0500XClinic/CenterInfusion TherapyYes

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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