| Capital Region Medical Center | |
|
1505 Southwest Blvd Jefferson City MO 65109-2431 | |
| (573) 632-5544 | |
| Not Available |
| Full Name | Capital Region Medical Center |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1505 Southwest Blvd, Jefferson City, Missouri |
| Authorized Official Name and Position | Tom R 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 3306 Emerald Ln Suite A Jefferson City MO 65109-6877 Ph: (573) 632-5544 | Capital Region Medical Center 1505 Southwest Blvd Jefferson City MO 65109-2431 Ph: (573) 632-5544 |
| NPI Number | 1447405568 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 04/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447405568 | NPI | - | NPPES |
| 249990557 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 108684 (Missouri) | Primary |
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 Medical Center 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 Regional Health Services 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 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 | |
Curators Of The University Of Missouri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-632-5932 |