Jcmg Ancillary Services, Llc

LBN: Jcmg Ancillary Services, Llc
Jcmg Ancillary Services, Llc is an health care organization with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Jcmg Ancillary Services, Llc can be contacted via phone (573) 635-5264, or through Call, Cassie via phone (573) 556-1783.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 636-9756
Website:
Map and Directions
Authorized official contact:
Name: Call, Cassie
Phone: (573) 556-1783

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 0980220 Missouri
Laboratories / Clinical Medical Laboratory 291U00000X 26D0446044 Missouri
Suppliers / Pharmacy 333600000X 006386 Missouri

Profile Details

NPI number 1841261153
LBN Legal business name Jcmg Ancillary Services, Llc
DBA Doing business as
Authorized official Call, Cassie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Oct 30th, 2023 - about last year

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 1841261153 NPPES
Missouri Other 2631629 NABP
Missouri MEDICAID 718482300 NABP
Missouri Other 470000400 NABP

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