NPI 1023081767

Capital Region Medical Center

Organisation Multi-Specialty Clinic/Center Jefferson City, MO

Practice location

Address: 1500 Southwest Blvd STE C, Jefferson City, MO 65109
Phone: (573) 632-5786
Fax: (573) 632-5833

Authorised official

Name: James R McMillan
Title: Vp Finance
Phone: (573) 632-5100

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X Licence 4199 (MO)

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1023081767
Entity type: Organization
NPI issued: 13 Feb 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.