Organization
CAPITAL REGION MEDICAL CENTER
Active
Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Physicians - Owensville
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LUEBBERING (VP OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
3536 KUHNE ROAD, OWENSVILLE, MO 65066
(573) 437-4168
(573) 437-4242
Mailing address
3536 KUHNE ROAD, OWENSVILLE, MO 65066
(573) 437-4168
(573) 437-4242
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
4199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134188741
—
MO
01
—
CH6516
RR MEDICARE
MO
Enumeration date
03/22/2006
Last updated
08/23/2013
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