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CAPITAL REGION RESIDENT CLINIC NPI 1649514050


NPI Information

NPI: 1649514050
Provider Name: CAPITAL REGION RESIDENT CLINIC

Doing Business As: CAPITAL REGION PHYSICIANS - DOWNTOWN URGENT CARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
220 MADISON ST.
JEFFERSON CITY, MO
ZIP 65102
Phone: (573) 632-4900
Get Directions

CAPITAL REGION RESIDENT CLINIC is a general practice in Jefferson City, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAPITAL REGION RESIDENT CLINIC NPI is 1649514050. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Region Physicians - Downtown Urgent Care.

The provider's business location address is:

220 MADISON ST.
JEFFERSON CITY, MO
ZIP 65102
Phone: (573) 632-4900
Fax: (573) 644-6650

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

The enumeration date for this NPI number is 11/26/2012 and was last updated on 6/10/2014.


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
1208D00000XGeneral PracticeYes

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: 4/28/2024

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