Capital Region Physicians - Edgewood Urgent Care

LBN: Capital Region Medical Center
Capital Region Physicians - Edgewood Urgent Care is an health care organization with primary practice located at 3308 W Edgewood Dr Suite B, Jefferson City MO 65109-6891. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 893-7848, or through Luebbering, Tom via phone (573) 632-5100.

Contact Information

Primary practice address
3308 W Edgewood Dr Suite B Jefferson City MO 65109-6891
Phone: (573) 893-7848
Fax: (573) 893-1984
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 / Family 363LF0000X

Profile Details

NPI number 1649244690
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Edgewood Urgent Care
Authorized official Luebbering, Tom
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 21st, 2014 - about 10 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 1649244690 NPPES
Missouri MEDICAID 507613909
Missouri Other PA2614

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