OrganizationActive
Capital Region Medical Center
NPI 1629031018 · Multi-Specialty Clinic/Center · Jefferson City, MO
Provider details
- NPI number
- 1629031018
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tom Luebbering, Vp of Finance(573) 632-5100
- License
- 41910 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1014 Madison St
Jefferson City, MO 65102-3458
Phone: (573) 632-5525
Fax: (573) 632-5811
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1107
Jefferson City, MO 65102-1107
Other names (DBA / former)
- Doing business as
- Capital Region Physicians - Pediatric Associates
Registry dates
- Enumerated
- 2006-04-08
- Last updated
- 2013-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.