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JEFFERSON CITY MEDICAL GROUP PC NPI 1083897862


NPI Information

NPI: 1083897862
Provider Name: JEFFERSON CITY MEDICAL GROUP, PC

Doing Business As: JCMG FAMILY HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2147796

Address:
606 E BUCHANAN ST
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-3600
Get Directions

JEFFERSON CITY MEDICAL GROUP, PC is a family medicine in California, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JEFFERSON CITY MEDICAL GROUP, PC NPI is 1083897862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jcmg Family Health Clinic.

The provider's business location address is:

606 E BUCHANAN ST
CALIFORNIA, MO
ZIP 65018-910
Phone: (573) 796-3600
Fax: (573) 796-7251

The provider's authorized official is Jeffrey Lee Patrick .
The authorized official title is President and has the following contact phone number (573) 635-5264.

The CLIA number assigned to this NPI record is 26D2147796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/26/2018.


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 Medicine36976MISSOURIYes

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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