Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Other names
Fulton Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PATRICK M.D (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
350 COUNTRY MEADOW LN, FULTON, MO 65251-5278
(736) 344-8785
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0428190006
DMERC/NORIDIAN
MO
05
—
506292002
—
MO
01
—
CC7852
MEDICARE RAILROAD
MO
Enumeration date
10/07/2024
Last updated
10/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us