JEFFERSON COUNTY MEMORIAL HOSPITAL (NPI# 1265739288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265739288 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | JEFFERSON MEDICAL CLINIC VALLEY FALLS |
| Practice Address |
409 Broadway St Valley Falls KS 66088-1303 |
| Mailing Address |
408 Delaware St Winchester KS 66097-4003 |
| Practice Telephone | 9137744340 |
| Practice Fax Number | 9137743379 |
| Mailing Telephone | 9137744340 |
| Mailing Fax Number | 9137743379 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | LAMONT COOK (CEO) |
| Authorized Official Telephone | 9137744340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Clinic Valley Falls | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871969865 | Jefferson County Memorial Hospital | Clinic/Center | 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007-8233 | 2015-08-13 |
| 1447660360 | Jefferson County Memorial Hospital | Clinic/Center | 504 Plaza Dr, Suite 300, Perry, KS 66073-4136 | 2014-04-30 |
| 1750354908 | Jefferson County Memorial Hospital | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-02-08 |
| 1215459367 | Jefferson County Memorial Hospital | Psychiatry & Neurology | 412 E Walnut St, Nortonville, KS 66060-4008 | 2017-07-11 |
| 1457710790 | Jefferson County Memorial Hospital | Clinic/Center | 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007-8233 | 2016-02-15 |
| 1700245057 | Jefferson County Memorial Hospital | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2016-02-15 |
| Street Address |
409 BROADWAY ST |
| City | VALLEY FALLS |
| State | KS |
| Zip Code | 66088-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304003 | Katherine Ann Wunder | Student in an Organized Health Care Education/Training Program | 810 Frazier St, Valley Falls, KS 66088 | 2017-09-07 |
| 1588792477 | Farr Chiropractic Clinic, P.a. | Chiropractor | Hwy 16 At Walnut St, Valley Falls, KS 66088 | 2007-03-01 |
| 1124097373 | Stanley J Farr | Chiropractor | Hwy 16 @ Walnut Street, Valley Falls, KS 66088 | 2006-03-17 |
| 1902395262 | Topeka Physician Group, LLC | Internal Medicine | 403 Sycamore St, Valley Falls, KS 66088 | 2018-05-02 |
| 1417469834 | Tonganoxie Family Dentistry | Dentist | 800 Walnut Street, Valley Falls, KS 66088 | 2017-10-25 |
| 1922248046 | Castle Grove Properties | Custodial Care Facility | 1509 Linn St, Valley Falls, KS 66088-1185 | 2009-03-02 |
| 1689730632 | Bruce Lee Tillery | Dentist | 800 Walnut, Valley Falls, KS 66088-1238 | 2006-12-27 |
| 1316561566 | Justin Hummelgard | Dentist | 800 Walnut St, Valley Falls, KS 66088-1238 | 2020-06-03 |
| 1508877507 | Dr Bruce L Tillery Dds Pa | Dentist | 800 Walnut St, Valley Falls, KS 66088-1238 | 2006-08-11 |
| 1144529561 | Bret Derek Lickteig | Chiropractor | 906 Walnut St, Valley Falls, KS 66088-1240 | 2011-03-24 |
| Find all providers in zip 66088 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341758 | Perfect Fit Foundation of Swk LLC | Clinic/Center | 2601 Central Ave Ste 36a, Dodge City, KS 67801-6200 | 2020-09-21 |
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1992326755 | M P Network LLC | Clinic/Center | 500 N Main St Ste 100, Newton, KS 67114-2200 | 2020-05-04 |
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1457833378 | Chs Tennessee Medical P C | Clinic/Center | 2200 Nw Brickyard Rd, Topeka, KS 66618-2814 | 2018-09-06 |
| 1669905139 | Serc Rehabilitation Partners LLC | Clinic/Center | 2108 W 27th St, Ste K, Lawrence, KS 66047-3153 | 2017-04-11 |
| 1871969865 | Jefferson County Memorial Hospital | Clinic/Center | 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007-8233 | 2015-08-13 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1447660360 | Jefferson County Memorial Hospital | Clinic/Center | 504 Plaza Dr, Suite 300, Perry, KS 66073-4136 | 2014-04-30 |
| 1861823403 | Serc Rehabilitation Partners LLC | Clinic/Center | 3627 Se 29th St, Ste 107, Topeka, KS 66605-2013 | 2013-12-09 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY FALLS |
| Zip Code | 66088 |
Please comment or provide details below to improve the information on JEFFERSON COUNTY MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.