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Jefferson Medical Group

Rural Health Clinic/Center in Carrollton, MO · enumerated 2011 · authorized official Amy Ireland, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619276367

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson Medical Group
Practice address 1502 N Jefferson St, Carrollton, MO, 64633
Fax (660) 542-9880
Enumeration date Mar 21, 2011
Last updated in NPPES Oct 29, 2021

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Amy Ireland
Title Cfo

Other identifiers

Identifier Type State Issuer
598993301 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jefferson Medical Group?
Jefferson Medical Group is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-29.