Jefferson City Outpatient Clinic – Clinic/Center, NPI 1467597872

Jefferson City Outpatient Clinic is a healthcare provider. based in Columbia, Missouri. specializing in Clinic/Center. The NPI Number for Jefferson City Outpatient Clinic is 1467597872

Main info

Organization
Name
Jefferson City Outpatient Clinic
NPI
1467597872
Phone
(573) 443-2204
Address
117 N GARTH AVE
Authorized Official
DR. ALLEN TACKER EXECUTIVE DIRECTOR PH.D.
Enumeration Date
21 February 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for Jefferson City Outpatient Clinic

  • 117 N GARTH AVE

    COLUMBIA, MO 652034103

    Phone: (573) 443-2204

    Fax: (573) 875-6607

    Type: Mailing

  • 204 METRO DR

    SUITE B

    JEFFERSON CITY, MO 651094408

    Phone: (573) 634-4591

    Fax: (573) 634-4792

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65203)

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Reviews

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Frequently asked questions

What is the standard ID for Jefferson City Outpatient Clinic in the U.S.?
In the U.S., Jefferson City Outpatient Clinic is identified by NPI 1467597872.
Does the public listing show Jefferson City Outpatient Clinic as active?
Jefferson City Outpatient Clinic's NPI record reflects an active status in NPPES.
What type of care does Jefferson City Outpatient Clinic provide?
Jefferson City Outpatient Clinic's profile centers on Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Jefferson City Outpatient Clinic?
Jefferson City Outpatient Clinic is associated with Columbia, Missouri in the same public data insurers reference.
Who maintains Jefferson City Outpatient Clinic's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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