Organization · Type 2 NPI

Jefferson Medical Group

Rural Health Clinic/Center · Norborne, MO

NPI number 1467742452 Active

Practice location

105 E 2nd St
Norborne, MO 64668-1301

Call (660) 593-3623 Map

Fax (660) 593-3628

Mailing address

1502 N Jefferson St
Carrollton, MO 64633-1948

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1467742452
Entity type: Organization (Type 2)
Issued: Apr 12, 2011
Last updated: Oct 29, 2021
Status: Active

Other names

<unavail>
Jefferson Medical Group Norborne Clinic · other name
Jefferson Medical Group Norborne Clinic · other name

Authorized official

Amy Danielle Ireland
CFO
(660) 329-6005

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467742452

Jefferson Medical Group's National Provider Identifier is 1467742452, issued on Apr 12, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Norborne, MO. The record was last updated on Oct 29, 2021.