Jefferson City Medical Group, P.C. in Jefferson City - Multi-specialty
Jefferson City Medical Group, P.C. - NPI 1336189398
Jefferson City Medical Group, P.C. is a Multi-specialty in Jefferson City, Missouri. Jefferson City Medical Group, P.C. practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Jefferson City Medical Group, P.C. is 1336189398. The last update date is 2023-06-08.
Jefferson City Medical Group, P.C.'s current location address is Po Box 104240, Jefferson City, Missouri. You can contact this provider via phone number 5736355264 and fax number 5736369756. The mailing address for Jefferson City Medical Group, P.C. is Po Box 104240, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson City Medical Group, P.C. |
|---|---|
| Address | Po Box 104240, Jefferson City, Missouri |
| Phone Number | 5736355264 |
| Fax Number | 5736369756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Patrick Jeffrey |
| Credentials | MD |
| Telephone Number | 5736355264 |
NPI Number Detail
| NPI Number | 1336189398 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2023-06-08 |
Provider Mailing Address Detail
| Address | Po Box 104240 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651104240 |
| Phone Number | 5736355264 |
| Fax Number | 5736369756 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CD6061 | MO | MEDICARE RAILROAD | |
| CC7852 | MO | MEDICARE RAILROAD | |
| CD6058 | MO | MEDICARE RAILROAD | |
| CD6059 | MO | MEDICARE RAILROAD | |
| CD6060 | MO | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jefferson City Medical Group, P.C. by the Centers for Medicare & Medicaid Services?
The Jefferson City Medical Group, P.C. has been issued the NPI (National Provider Identifier) 1336189398, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jefferson City Medical Group, P.C.?
The Jefferson City Medical Group, P.C. is physically situated at Po Box 104240, in the city of Jefferson City, state of MO, with the postal code 651104240.
What is Jefferson City Medical Group, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Jefferson City Medical Group, P.C.'s area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.
On what date was the 1336189398 assigned to Jefferson City Medical Group, P.C.?
The Jefferson City Medical Group, P.C. was issued its 1336189398 on 2006-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jefferson City Medical Group, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jefferson City Medical Group, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-08.
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