institution
Capital Region Medical Center
Multi-Specialty Clinic/Center in Jefferson City, Missouri
NPI 1629031018

Capital Region Medical Center is a Multi-Specialty Clinic/Center based in Jefferson City, MO and is specialized in Multi-Specialty. Capital Region Medical Center practices in Jefferson City, MO. The NPI Number for Capital Region Medical Center is 1629031018 and holds a License No. 41910 (Missouri).

The current practice location address for Capital Region Medical Center is 1014 Madison St, Jefferson City, MO and can be reached out via phone at 573-632-5525 and via fax at 573-632-5811.

Location: 1014 Madison St, Jefferson City, MO, 65102-1107
institution
Provider Profile Details
NPI Number
1629031018
Provider Name
Capital Region Medical Center
Credential
Provider Entity Type
Organization
Address
1014 Madison St, Jefferson City, MO, 65102-1107
Phone Number
573-632-5525
Fax Number
573-632-5811
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507515500 05 MO
institution
Provider Business Practice Location Address Details
Address
1014 Madison St
City
State
Zip
65102-3458
Phone Number
573-632-5525
Fax Number
573-632-5811
person
Provider Business Mailing Address Details
Address
1014 Madison St
City
State
Zip
65102-3458
Phone Number
573-632-5525
Fax Number
573-632-5811
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
41910 (Missouri)
Definition
Definition to come...
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