Capital Region Physicians - Southwest

LBN: Capital Region Medical Center
Capital Region Physicians - Southwest is an health care organization with primary practice located at 1500 Southwest Blvd Ste D, Jefferson City MO 65109. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5780, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
1500 Southwest Blvd Ste D Jefferson City MO 65109
Phone: (573) 632-5780
Fax: (573) 632-5833
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1124091285
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Southwest
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 23rd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124091285 NPPES
Missouri MEDICAID 502474406
Missouri Other CH7258

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