MEDICARE: JAN FINNEY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	R5H49	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	080145024	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	14428	OTHER	BLUE CROSS BLUE SHIELD
2	141791	OTHER	HEALTHLINK
3	79896	OTHER	FIRST HEALTH
4	8173161	OTHER	CIGNA
5	D41771	OTHER	MERCY
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	440546366	OTHER	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1295707693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN FINNEY DO

Provider Business Mailing Address
First Line	:	704 BUCHANAN
Second Line	:	HWY 50 W, CAPITAL REGION MEDICAL CLINIC CALIFORNIA
City	:	CALIFORNIA
State	:	MO
Zip	:	65018
Country	:	US
Telephone Number	:	573-796-3111
Fax Number	:	573-796-3042

Provider Business Practice Location Address
First Line	:	704 BUCHANAN
Second Line	:	HWY 50 W
City	:	CALIFORNIA
State	:	MO
Zip	:	65018
Country	:	US
Telephone Number	:	573-796-3111
Fax Number	:	573-796-3042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	06/07/2012

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Directions to “ JAN FINNEY DO” Practice Location

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