Capital Region Physicians - Pediatric Associates

LBN: Capital Region Medical Center
Capital Region Physicians - Pediatric Associates is an health care organization with primary practice located at 1014 Madison St , Jefferson City MO 65102-3458. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5525, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
1014 Madison St Jefferson City MO 65102-3458
Phone: (573) 632-5525
Fax: (573) 632-5811
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 41910 Missouri

Profile Details

NPI number 1629031018
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Pediatric Associates
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2006
Last updated Aug 23rd, 2013 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629031018 NPPES
Missouri MEDICAID 507515500

Popular Providers