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Contact Information

JEFFERSON CITY MEDICAL GROUP, PC
1735 ELM COURT
JEFFERSON CITY, MO65101
 Phone: 573-635-5264
 Fax: 573-632-6645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JEFFERSON CITY MEDICAL GROUP, PC

NPI Number 1174979520
LBN Legal business name JEFFERSON CITY MEDICAL GROUP, PC
Authorized official REESE THOMPSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2016
Last updated 05/17/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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