| Capital Region Medical Center | |
|
1125 Madison St Jefferson City MO 65101-5227 | |
| (573) 632-5000 | |
| (573) 632-5932 |
| Full Name | Capital Region Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Authorized Official Name and Position | Frederic A. Ransom (CEO) |
| Authorized Official Contact | 5738840054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Medical Center One Hospital Drive Dc026.00 Columbia MO 65212-0001 Ph: (573) 882-8055 | Capital Region Medical Center 1125 Madison St Jefferson City MO 65101-5227 Ph: (573) 632-5000 |
| NPI Number | 1174597892 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 4688573686 |
|---|---|
| Medicare Enrollment ID | O20040601001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174597892 | NPI | - | NPPES |
| 540158508 | Medicaid | MO | |
| 540564903 | Medicaid | MO | |
| 010158509 | Medicaid | MO | |
| 800564908 | Medicaid | MO |
| Provider Name | James F Tritz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447230131 PECOS PAC ID: 4789664947 Enrollment ID: I20040720001354 |
| Provider Name | Victor M Phillips |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831131762 PECOS PAC ID: 3779593322 Enrollment ID: I20060427000275 |
| Provider Name | Jeffrey S Sanders |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407843139 PECOS PAC ID: 4385688340 Enrollment ID: I20080703000020 |
| Provider Name | William L Schlegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487640223 PECOS PAC ID: 3274623624 Enrollment ID: I20080703000029 |
| Provider Name | Patrick J Morello |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194760041 PECOS PAC ID: 9739251919 Enrollment ID: I20090109000577 |
| Provider Name | Sarah E Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871897405 PECOS PAC ID: 0345428603 Enrollment ID: I20110711000302 |
| Provider Name | Walter C Coats |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316122245 PECOS PAC ID: 0941440911 Enrollment ID: I20130716000286 |
| Provider Name | Ashley Sandbothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689083511 PECOS PAC ID: 2961711411 Enrollment ID: I20151022002569 |
| Provider Name | Lincoln T Shenje |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700031382 PECOS PAC ID: 7517107006 Enrollment ID: I20181002003904 |
Spine Midwest, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101 Phone: 573-634-4212 | |
Capital Region Corporate Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 Phone: 573-632-5786 Fax: 573-632-5833 | |
Family Medicine Of Jefferson City, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109 Phone: 573-659-7300 Fax: 573-636-0555 | |
Ssm Health Wound Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2505 Mission Dr, Suite 210, Jefferson City, MO 65109 Phone: 573-681-3000 Fax: 573-659-2503 | |
Innovative Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109 Phone: 949-696-6157 | |
Capital Region Physicians - Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E High St, Jefferson City, MO 65101 Phone: 573-635-0916 Fax: 573-635-8812 | |
Capital Region Physicians - Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Southwest Blvd, Ste D, Jefferson City, MO 65109 Phone: 573-632-5780 Fax: 573-632-5833 |