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Contact Information

JEFFERSON CITY MEDICAL GROUP, P.C.
1241 W STADIUM BLVD
FIRST FLOOR, SUITE 1100
JEFFERSON CITY, MO65109
 Phone: 573-556-5747
 Fax: 573-636-9756
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for JEFFERSON CITY MEDICAL GROUP, P.C.

NPI Number 1336189398
LBN Legal business name JEFFERSON CITY MEDICAL GROUP, P.C.
Authorized official JEFFREY PATRICK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 06/08/2023 - About 3 years ago
Identifiers
MO Other CC7852 MEDICARE RAILROAD
MO Other CD6058 MEDICARE RAILROAD
MO Other CD6059 MEDICARE RAILROAD
MO Other CD6060 MEDICARE RAILROAD
MO Other CD6061 MEDICARE RAILROAD
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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