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CAPITAL REGION MEDICAL CENTER NPI 1174597892


NPI Information

NPI: 1174597892
Provider Name: CAPITAL REGION MEDICAL CENTER
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1125 MADISON ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 632-5000
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CAPITAL REGION MEDICAL CENTER is a general acute care hospital in Jefferson City, MO. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. CAPITAL REGION MEDICAL CENTER NPI is 1174597892. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1125 MADISON ST
JEFFERSON CITY, MO
ZIP 65101-227
Phone: (573) 632-5000
Fax: (573) 632-5932

The provider's authorized official is Tom Luebbering .
The authorized official title is Vice President Of Finance and has the following contact phone number (573) 632-5100.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 11/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMISSOURINo
2207R00000XInternal MedicineMISSOURINo
3261Q00000XClinic/CenterMISSOURINo
4341600000XAmbulanceMISSOURINo
5282N00000XGeneral Acute Care Hospital419-10MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1540564903MEDICAIDMISSOURI
2000050027MEDICARE PINMISSOURI
3260047MEDICARE OSCAR/CERTIFICATIONMISSOURI
4800564908MEDICAIDMISSOURI
5010158509MEDICAIDMISSOURI
6540158508MEDICAIDMISSOURI
7000011854MEDICARE PINMISSOURI

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: 11/14/2023

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