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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932176591 | NPPES |
| Missouri | Other | C09211 | RR MEDICARE |
| Missouri | MEDICAID | 508925708 | RR MEDICARE |
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