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CAPITAL REGION MEDICAL CENTER NPI 1780958173


NPI Information

NPI: 1780958173
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - SURGICARE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1705 CHRISTY DR
SUITE 215
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 659-5500
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CAPITAL REGION MEDICAL CENTER is a specialist in Jefferson City, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAPITAL REGION MEDICAL CENTER NPI is 1780958173. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Region Physicians - Surgicare.

The provider's business location address is:

1705 CHRISTY DR
SUITE 215
JEFFERSON CITY, MO
ZIP 65101-195
Phone: (573) 659-5500
Fax: (573) 659-5505

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 3/2/2012 and was last updated on 9/4/2013.


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
1174400000XSpecialistYes

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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