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CAPITAL REGION MEDICAL CENTER NPI 1083912265


NPI Information

NPI: 1083912265
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - MADISON STREET OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1014 MADISON ST
SUITE B
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 634-3496
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CAPITAL REGION MEDICAL CENTER is an obstetrics gynecology in Jefferson City, MO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CAPITAL REGION MEDICAL CENTER NPI is 1083912265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Capital Region Physicians - Madison Street Ob/gyn.

The provider's business location address is:

1014 MADISON ST
SUITE B
JEFFERSON CITY, MO
ZIP 65101-458
Phone: (573) 634-3496
Fax: (573) 635-5260

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 3/11/2011 and was last updated on 8/23/2013.


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
1207V00000XObstetrics & Gynecology419-15MISSOURIYes

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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