Organization
CAPITAL REGION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM LUEBBERING (VICE PRESIDENT OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
419-10
MO
Other
Enumeration date
07/10/2006
Last updated
11/27/2012
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