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Capital Region Medical Center

Organization Active NPI Specialist · Jefferson City, MO

NPI 1780958173 · NPPES record last updated Sep 4, 2013

Key facts

NPI
1780958173
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
CAPITAL REGION MEDICAL CENTER
Practice address
1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195
Phone
(573) 659-5500
Fax
(573) 659-5505
NPI assigned
Mar 2, 2012
Organization subpart
No

Authorized official

Name
Mr. 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)

Locations

1705 Christy Dr
Ste 215
Jefferson Cty, MO 65101
Phone (573) 659-5500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP		 174400000X Yes

Addresses

Primary practice location

1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195

Mailing address

1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195
Phone (573) 659-5500

Other names

  • Capital Region Physicians - SurgiCare Doing business as

Other providers in Jefferson City, MO

All providers in Jefferson City, MO · Specialist in Missouri

Sources for this page

Verify at the official NPI Registry.