Capital Region Physicians - The Sloan Clinic

LBN: Capital Region Medical Center
Capital Region Physicians - The Sloan Clinic is an health care organization with primary practice located at 1505 Southwest Blvd , Jefferson City MO 65109-2431. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5544, or through Luebbering, Tom R via phone (573) 632-5100.

Contact Information

Primary practice address
1505 Southwest Blvd Jefferson City MO 65109-2431
Phone: (573) 632-5544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom R
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 108684 Missouri

Profile Details

NPI number 1447405568
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - The Sloan Clinic
Authorized official Luebbering, Tom R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2008
Last updated Apr 10th, 2014 - about 11 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 1447405568 NPPES
Missouri MEDICAID 249990557

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