|
| |
|
1125 Madison St Jefferson City MO 65101-5227 | |
| (573) 632-5000 | |
| (573) 632-5932 |
| Full Name | |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1125 Madison St, Jefferson City, Missouri |
| Authorized Official Name and Position | Frederic A. Ransom (CEO) |
| Authorized Official Contact | 5738840054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
One Hospital Drive Dc026.00 Columbia MO 65212-0001 Ph: (573) 882-8055 | 1125 Madison St Jefferson City MO 65101-5227 Ph: (573) 632-5000 |
| NPI Number | 1174597892 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174597892 | NPI | - | NPPES |
| 540158508 | Medicaid | MO | |
| 540564903 | Medicaid | MO | |
| 010158509 | Medicaid | MO | |
| 800564908 | Medicaid | MO |
Spine Midwest, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101 Phone: 573-634-4212 | |
Family Medicine Of Jefferson City, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109 Phone: 573-659-7300 Fax: 573-636-0555 | |
Innovative Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109 Phone: 949-696-6157 | |
Jefferson City Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Elm Ct, Jefferson City, MO 65101 Phone: 573-634-4878 |