CAPITAL REGION RESIDENT CLINIC; NPI #1649514050

Contact Information

CAPITAL REGION RESIDENT CLINIC

220 MADISON ST.
JEFFERSON CITY, MO 65102

Phone: 573-632-4900
Fax: 573-644-6650
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for CAPITAL REGION RESIDENT CLINIC

NPI #	`1649514050`
LBN Legal business name	CAPITAL REGION RESIDENT CLINIC
Authorized official	TOM LUEBBERING - (VP OF FINANCE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/26/2012
Last updated	06/10/2014 - About 12 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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CAPITAL REGION RESIDENT CLINIC

Contact Information

Specialty

General Practice

NPI Profile & details for CAPITAL REGION RESIDENT CLINIC

Reviews for CAPITAL REGION RESIDENT CLINIC