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Capital Region Medical Center

Skilled Nursing Facility in Jefferson City, MO. Organization (NPI-2).

NPI number1689617656
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1689617656
Entity type
Organization (NPI-2)
Legal business name
Capital Region Medical Center
Organization subpart
No
Enumeration date
Jun 14, 2006
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility419-10MOYes

Practice location

1125 Madison St
Jefferson City, MO 65101-5227

Phone 573-632-5000

Mailing address

1125 Madison St
Jefferson City, MO 65101-5227

Phone 573-632-5000

Authorized official

Jim McMillan
Vice President Of Finance
5736325100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Jefferson City, MO

All 18 Skilled Nursing Facility providers in Jefferson City · All 1,897 providers in Jefferson City

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