Organization
JEFFERSON CITY MEDICAL GROUP, PC
Active
Other names
JCMG Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA G ASTIN (VICE PRESIDENT OF OPERATIONS)
(573) 556-7774
Entity
Organization
Contact information
Practice address
606 E BUCHANAN ST, CALIFORNIA, MO 65018-1910
(573) 796-3600
(573) 796-7251
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-5771
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
03/29/2019
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