| Jefferson City Medical Group, P.c. | |
|
1306 E Main St Linn MO 65051-2503 | |
| (573) 897-2202 | |
| (573) 897-3157 |
| Full Name | Jefferson City Medical Group, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1306 E Main St, Linn, Missouri |
| Authorized Official Name and Position | Jeffrey Lee Patrick (PRESIDENT) |
| Authorized Official Contact | 5736355264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson City Medical Group, P.c. 1306 E Main St Linn MO 65051-2503 Ph: (573) 897-2202 | Jefferson City Medical Group, P.c. 1306 E Main St Linn MO 65051-2503 Ph: (573) 897-2202 |
| NPI Number | 1083661615 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083661615 | NPI | - | NPPES |
| CD6061 | Other | MO | MEDICARE RAILROAD |
| CC7852 | Other | MO | MEDICARE RAILROAD |
| CD6058 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Health Ctr Of Central Missouri Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 West Main Street, Linn, MO 65051 Phone: 573-897-4946 Fax: 573-897-4941 |