| Capital Region Medical Center | |
|
103 Business Hwy 54 North Eldon MO 65026 | |
| (573) 392-2124 | |
| (573) 392-6375 |
| Full Name | Capital Region Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Business Hwy 54 North, Eldon, Missouri |
| Authorized Official Name and Position | Tom Luebbering (VP OF FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Medical Center 103 Business Hwy 54 North Eldon MO 65026 Ph: (573) 392-2124 | Capital Region Medical Center 103 Business Hwy 54 North Eldon MO 65026 Ph: (573) 392-2124 |
| NPI Number | 1285606392 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285606392 | NPI | - | NPPES |
| 508069101 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Malcolm J. Dickerson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 W 4th St, Eldon, MO 65026 Phone: 573-392-9200 Fax: 573-392-4626 | |
Lake Regional Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304a E 4th St, Eldon, MO 65026 Phone: 573-392-5654 Fax: 573-392-5692 | |
Eldon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Business Highway 54 E Ste D, Eldon, MO 65026 Phone: 573-286-2638 | |
Richland Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 S Pine St, Eldon, MO 65026 Phone: 573-765-5131 Fax: 573-765-3122 | |
Ssm Regional Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 E North St, Eldon, MO 65026 Phone: 573-392-3767 Fax: 573-392-1976 |