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CAPITAL REGION MEDICAL CENTER NPI 1730151143


NPI Information

NPI: 1730151143
Provider Name: CAPITAL REGION MEDICAL CENTER

Doing Business As: CAPITAL REGION PHYSICIANS - CALIFORNIA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D0886676

Address:
704 BUCHANAN HWY SW
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-3111
Get Directions

CAPITAL REGION MEDICAL CENTER 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. CAPITAL REGION MEDICAL CENTER NPI is 1730151143. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capital Region Physicians - California.

The provider's business location address is:

704 BUCHANAN HWY SW
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-3111
Fax: (573) 796-3042

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 CLIA number assigned to this NPI record is 26D0886676 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/2/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000012296MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2CK5622OTHERMISSOURIRR MEDICARE
3507984300MEDICAIDMISSOURI

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: 5/5/2024

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