Jefferson Medical Group
Organization Active NPI Rural Health Clinic/Center · Norborne, MO
NPI 1467742452 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1467742452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- JEFFERSON MEDICAL GROUP
- Practice address
- 105 E 2ND St
Norborne, MO 64668-1301 - Phone
- (660) 593-3623
- Fax
- (660) 593-3628
- NPI assigned
- Apr 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Amy Danielle Ireland
- Title
- Cfo
- Phone
- (660) 329-6005
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | MO | Yes |
Addresses
Primary practice location
105 E 2ND St
Norborne, MO 64668-1301
Mailing address
1502 N Jefferson St
Carrollton, MO 64633-1948
Phone (660) 542-9998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596573204 | Medicaid | MO |
Other names
- Jefferson Medical Group Norborne Clinic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CCMHHIMDept@ccmhospital.cernerdirect.com | Carroll County Memorial Hospital |
Other providers in Norborne, MO
- County of Carroll School Dist R8
- Maryanne Catherine Crone-Markley
- Stacy Lynn Davidson
- Elizabeth A Heil
- Suzanne L. Kruse
- New Choices Counseling LLC
All providers in Norborne, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.