Healthcare Provider Details

I. General information

NPI: 1275751091
Provider Name (Legal Business Name): CITY OF JEFFERSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E MCCARTY ST
JEFFERSON CITY MO
65101-3115
US

IV. Provider business mailing address

320 E MCCARTY ST
JEFFERSON CITY MO
65101-3115
US

V. Phone/Fax

Practice location:
  • Phone: 573-634-6599
  • Fax: 573-636-3632
Mailing address:
  • Phone: 573-634-6599
  • Fax: 573-636-3632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD C. TURNER SR.
Title or Position: TRANSIT DIVISION DIRECTOR
Credential:
Phone: 573-634-6599