Jefferson City Medical Group, P.C.
LBN: Jefferson City Medical Group, P.C.
Jefferson City Medical Group, P.C. is an health care organization with primary practice located at 1241 W Stadium Blvd First Floor, Suite 1100, Jefferson City MO 65109. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Jefferson City Medical Group, P.C. can be contacted via phone (573) 556-5747, or through Patrick, Jeffrey via phone (573) 635-5264.
Contact Information
Primary practice address
1241 W Stadium Blvd First Floor, Suite 1100
Jefferson City MO 65109
Phone: (573) 556-5747
Fax: (573) 636-9756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1336189398 |
|---|---|
| LBN Legal business name | Jefferson City Medical Group, P.C. |
| DBA Doing business as | |
| Authorized official | Patrick, Jeffrey Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336189398 | NPPES |
| Missouri | Other | CD6061 | MEDICARE RAILROAD |
| Missouri | Other | CC7852 | MEDICARE RAILROAD |
| Missouri | Other | CD6058 | MEDICARE RAILROAD |
| Missouri | Other | CD6059 | MEDICARE RAILROAD |
| Missouri | Other | CD6060 | MEDICARE RAILROAD |
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