OrganizationActive
Jefferson City Medical Group, P.C.
NPI 1336189398 · Multi-Specialty Clinic/Center · Jefferson City, MO
Provider details
- NPI number
- 1336189398
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Patrick, President(573) 635-5264
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1241 W Stadium Blvd
First Floor, Suite 1100
Jefferson City, MO 65109
Phone: (573) 556-5747
Fax: (573) 636-9756
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 104240
Jefferson City, MO 65110-4240
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.