| Capital Region Corporate Health Clinic | |
|
1500 Southwest Blvd Ste C Jefferson City MO 65109 | |
| (573) 632-5786 | |
| (573) 632-5833 |
| Full Name | Capital Region Corporate Health Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1500 Southwest Blvd, Jefferson City, Missouri |
| Authorized Official Name and Position | James R Mcmillan (VP FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Corporate Health Clinic 1500 Southwest Blvd Ste C Jefferson City MO 65109 Ph: (573) 632-5786 | Capital Region Corporate Health Clinic 1500 Southwest Blvd Ste C Jefferson City MO 65109 Ph: (573) 632-5786 |
| NPI Number | 1023081767 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023081767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4199 (Missouri) | Primary |
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