NPIMap

Capital Region Medical Center

Organization Active NPI Internal Medicine Physician · Jefferson City, MO

NPI 1447418264 · NPPES record last updated Aug 23, 2013

Key facts

NPI
1447418264
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CAPITAL REGION MEDICAL CENTER
Practice address
1505 Southwest Blvd
Jefferson City, MO 65109-2431
Phone
(573) 634-2620
Fax
(573) 634-2033
NPI assigned
May 29, 2008
Organization subpart
No

Authorized official

Name
Tom Luebbering
Title
VP of Finance
Phone
(573) 632-5100

Corporate family (same tax ID) 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

National Provider Directory

Tax ID family
Capital Region Medical Center (47 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0200X
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RE0101X
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RN0300X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RR0500X
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RS0012X

Addresses

Primary practice location

1505 Southwest Blvd
Jefferson City, MO 65109-2431

Mailing address

PO Box 1128
Jefferson City, MO 65102-1128
Phone (573) 634-2620

Other names

  • Capital Region Physicians - CCMA Doing business as

Other providers in Jefferson City, MO

All providers in Jefferson City, MO · Internal Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.