Organization
CAPITAL REGION MEDICAL CENTER
Active
Other names
Capital Region Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM LUEBBERING (VP OF FINANCE)
(573) 632-5100
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5750
(573) 632-5868
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5750
(573) 632-5868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
412-11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580564904
—
MO
Enumeration date
07/07/2005
Last updated
10/05/2016
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