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Organization

CAPITAL REGION MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIM MCMILLAN (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
314000000X
Skilled Nursing Facility
Primary
419-10
MO

Other

Enumeration date
06/14/2006
Last updated
08/22/2020
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