1215030713 JEFFERSON MEDICAL GROUP
Family Medicine Physician
Active
Basic Information
- Organization Name
- JEFFERSON MEDICAL GROUP
- Enumeration Date
- September 7, 2006
- Last Update
- October 29, 2021
- Authorized Official
- AMY DANIELLE IRELAND
CFO
Phone: (660) 329-6005
Practice Location
- Address
- 1502 N JEFFERSON ST
CARROLLTON, MO 646331948 - Phone
- (660) 542-9998
- Fax
- (660) 542-9880
Mailing Address
- Address
- 1502 N JEFFERSON ST
CARROLLTON, MO 646331948 - Phone
- (660) 542-9998
- Fax
- (660) 542-9880
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50899330 | 05 | MO | N/A |
Digital Endpoints
DIRECT Use: DIRECT
himdept@ccmhospital.cernerdirect.com
Affiliation: Carroll County Memorial Hospital
Frequently Asked Questions
What is JEFFERSON MEDICAL GROUP's NPI number?
JEFFERSON MEDICAL GROUP's NPI number is 1215030713.
Which doctor has NPI number 1215030713?
The doctor with NPI number 1215030713 is JEFFERSON MEDICAL GROUP.
What is JEFFERSON MEDICAL GROUP's practice address?
JEFFERSON MEDICAL GROUP's practice address is 1502 N JEFFERSON ST, CARROLLTON, MO, 646331948.
Which doctor practices at 1502 N JEFFERSON ST, CARROLLTON, MO, 646331948?
JEFFERSON MEDICAL GROUP practices at 1502 N JEFFERSON ST, CARROLLTON, MO, 646331948.
What is JEFFERSON MEDICAL GROUP's phone number?
JEFFERSON MEDICAL GROUP's phone number is (660) 542-9998.
Who is (660) 542-9998?
(660) 542-9998 is the phone number for JEFFERSON MEDICAL GROUP.
What is JEFFERSON MEDICAL GROUP's specialty?
JEFFERSON MEDICAL GROUP's specialty is Family Medicine Physician.
What type of doctor is JEFFERSON MEDICAL GROUP?
JEFFERSON MEDICAL GROUP is a Family Medicine Physician.
Is JEFFERSON MEDICAL GROUP a Family Medicine?
Yes, JEFFERSON MEDICAL GROUP is a Family Medicine.
Is JEFFERSON MEDICAL GROUP still practicing?
Yes, JEFFERSON MEDICAL GROUP is currently practicing.
Is JEFFERSON MEDICAL GROUP accepting new patients?
JEFFERSON MEDICAL GROUP may be accepting new patients. Please call their office at (660) 542-9998 to inquire about availability.
Is NPI 1215030713 still active?
Yes, NPI 1215030713 is currently active.
Where does JEFFERSON MEDICAL GROUP practice?
JEFFERSON MEDICAL GROUP practices in CARROLLTON, MO.