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Jefferson Medical Group
Rural Health Clinic/Center in Carrollton, Missouri
NPI 1619276367

Jefferson Medical Group is a Rural Health Clinic/Center based in Carrollton, MO and is specialized in Rural Health. Jefferson Medical Group practices in Carrollton, MO. The NPI Number for Jefferson Medical Group is 1619276367 and holds a License No. (Missouri).

The current practice location address for Jefferson Medical Group is 1502 N Jefferson St, Carrollton, MO and can be reached out via phone at 660-542-9998 and via fax at 660-542-9880.

Location: 1502 N Jefferson St, Carrollton, MO, 64633-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619276367
Provider Name
Jefferson Medical Group
Credential
Provider Entity Type
Organization
Address
1502 N Jefferson St, Carrollton, MO, 64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
598993301 05 MO
institution
Provider Business Practice Location Address Details
Address
1502 N Jefferson St
City
Carrollton
State
Missouri
Zip
64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
person
Provider Business Mailing Address Details
Address
1502 N Jefferson St
City
Carrollton
State
Missouri
Zip
64633-1948
Phone Number
660-542-9998
Fax Number
660-542-9880
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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