# CAPITAL REGION MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capital Region Physicians - Goldschmidt Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932176591
- **Authorized official:** TOM ALAN LUEBBERING (VP OF FINANCE)
- **Authorized official phone:** (573) 632-5100

## Contact information

- **Practice address:** 1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109
- **Practice address phone:** (573) 632-5482
- **Practice address fax:** (573) 632-5860
- **Mailing address:** PO BOX 1128, JEFFERSON CITY, MO 65012-1128
- **Mailing address phone:** (573) 632-5482
- **Mailing address fax:** (573) 632-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 08/23/2013