# JEFFERSON CITY MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Missouri Valley Physicians A Division of JCMG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437668746
- **Authorized official:** MRS. MELISSA G ASTIN (VP OF OPERATIONS)
- **Authorized official phone:** (573) 556-7774

## Contact information

- **Practice address:** 2303 S HIGHWAY 65 STE A, MARSHALL, MO 65340-3735
- **Practice address phone:** (660) 886-3364
- **Practice address fax:** (660) 886-6044
- **Mailing address:** PO BOX 104240, JEFFERSON CITY, MO 65110-4240
- **Mailing address phone:** (573) 556-5771
- **Mailing address fax:** (573) 636-9756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2017
- **Last updated:** 03/29/2019