Capital Region Physicians - Center For Mental Wellness

LBN: Capital Region Medical Center
Capital Region Physicians - Center For Mental Wellness is an health care organization with primary practice located at 1432 Southwest Blvd , Jefferson City MO 65109-2444. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5560, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
1432 Southwest Blvd Jefferson City MO 65109-2444
Phone: (573) 632-5560
Fax: (573) 632-5875
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1326234733
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Center For Mental Wellness
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2007
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 1326234733 NPPES
Missouri MEDICAID 505995001

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