Capital Regional Medical Group

LBN: Capital Regional Medical Group
Capital Regional Medical Group is an health care organization with primary practice located at 2770 Capital Medical Blvd Suite 200, Tallahassee FL 32308-8417. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Capital Regional Medical Group can be contacted via phone (850) 878-8235, or through Thacker, Richard via phone (850) 878-8235.

Contact Information

Primary practice address
2770 Capital Medical Blvd Suite 200 Tallahassee FL 32308-8417
Fax:
Website:
Authorized official contact:
Name: Thacker, Richard Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X ARNP9188795 Florida

Profile Details

NPI number 1790181550
LBN Legal business name Capital Regional Medical Group
DBA Doing business as
Authorized official Thacker, Richard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2014
Last updated Nov 6th, 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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