Capital Region Physicians - Goldschmidt Cancer Center

LBN: Capital Region Medical Center
Capital Region Physicians - Goldschmidt Cancer Center is an health care organization with primary practice located at 1432 Southwest Blvd , Jefferson City MO 65109. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Capital Region Medical Center can be contacted via phone (573) 632-5482, or through Luebbering, Tom Alan via phone (573) 632-5100.

Contact Information

Primary practice address
1432 Southwest Blvd Jefferson City MO 65109
Phone: (573) 632-5482
Fax: (573) 632-5860
Website:
Map and Directions
Authorized official contact:
Name: Luebbering, Tom Alan
Phone: (573) 632-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X

Profile Details

NPI number 1932176591
LBN Legal business name Capital Region Medical Center
DBA Doing business as Capital Region Physicians - Goldschmidt Cancer Center
Authorized official Luebbering, Tom Alan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 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 1932176591 NPPES
Missouri Other C09211 RR MEDICARE
Missouri MEDICAID 508925708 RR MEDICARE

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