JEFFERSON COMMUNITY HEALTH CENTER, INC. (NPI# 1336625474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336625474 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
825 22nd St Fairbury NE 68352-1221 |
| Mailing Address |
2200 H St Fairbury NE 68352-1119 |
| Practice Telephone | 4027293361 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | CHANCE KLASEK (CFO) |
| Authorized Official Telephone | 4027296856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194944819 | Jefferson Community Health Center, Inc. | Pharmacy | 2200 H St, Fairbury, NE 68352-1119 | 2007-04-24 |
| 1639273808 | Jefferson Community Health Center, Inc. | Home Health | 2200 H St, Box 277, Fairbury, NE 68352-1119 | 2006-09-11 |
| 1992808372 | Jefferson Community Health Center, Inc. | Medicare Defined Swing Bed Unit | 2200 H St, Box 277, Fairbury, NE 68352-1119 | 2006-09-07 |
| 1477660397 | Jefferson Community Health Center, Inc. | General Acute Care Hospital | 2200 H St, Box 277, Fairbury, NE 68352-1119 | 2006-08-24 |
| Street Address |
825 22ND ST |
| City | FAIRBURY |
| State | NE |
| Zip Code | 68352-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763003 | Richard A Blatny Jr. | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1922462902 | Jefferson Community Health Center Inc | Family Medicine | 825 22nd St, Fairbury, NE 68352-1299 | 2016-04-06 |
| 1912388927 | Brett Wergin | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2015-06-16 |
| 1073908562 | Todd D Martin Md PC | Obstetrics & Gynecology | 825 22nd St, Fairbury, NE 68352-1221 | 2015-04-01 |
| 1538550801 | Jessica Lynn Borrenpohl | Physician Assistant | 825 22nd St, Fairbury, NE 68352-1221 | 2015-02-09 |
| 1619948551 | Fairbury Clinic, P.C. | Clinic/Center | 825 22nd St, Fairbury, NE 68352-1299 | 2006-01-30 |
| 1932170966 | Douglas F Ruzicka | Physician Assistant | 825 22nd St, Fairbury, NE 68352-1221 | 2006-01-28 |
| 1487625414 | Vicki J Arnold | Physician Assistant | 825 22nd St, Fairbury, NE 68352-1221 | 2006-01-28 |
| 1952399362 | Richard A Blatny | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1811985237 | Craig J Shumard | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205908308 | Brenda S Rippe | Case Manager/Care Coordinator | 521 E Street, Fairbury, NE 68352 | 2006-11-14 |
| 1821015884 | Tatro Chiropractic PC | Chiropractor | 425 D St, Fairbury, NE 68352 | 2006-07-16 |
| 1013031178 | Prairie View Industries, Inc. | Durable Medical Equipment & Medical Supplies | 2620 Industrial Drive, Fairbury, NE 68352-0575 | 2007-03-16 |
| 1881611986 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2831 Highway 15, Fairbury, NE 68352-1008 | 2006-07-16 |
| 1336748862 | Danielle Nicole Blackburn | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2020-10-26 |
| 1396259560 | Kayla Renee Specht | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-27 |
| 1710491394 | Michael Gude | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-19 |
| 1861435448 | Gary Lee Mitchell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-13 |
| 1063050532 | Kensly N Williams | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2019-12-16 |
| 1285141135 | Tyler Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2018-01-01 |
| Find all providers in zip 68352 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544679 | Gibson Community Hospital Association | Family Medicine | 221 Wal Crest Dr, Fairbury, IL 61739-8998 | 2011-10-07 |
| 1578656831 | Heather Schweizer | Family Medicine | 106 S 1st St, Fairbury, IL 61739-1509 | 2006-10-01 |
| 1306865084 | Bonnie Smith | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-07-19 |
| 1699763003 | Richard A Blatny Jr. | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1922462902 | Jefferson Community Health Center Inc | Family Medicine | 825 22nd St, Fairbury, NE 68352-1299 | 2016-04-06 |
| 1912388927 | Brett Wergin | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2015-06-16 |
| 1649436098 | Rachel Marie Wenger | Family Medicine | 401 S Clay St, Fairbury, IL 61739-1481 | 2008-08-05 |
| 1487731220 | Bromenn Physicians Management Corporation | Family Medicine | 115 E Walnut St, Fairbury, IL 61739-1516 | 2006-11-01 |
| 1952399362 | Richard A Blatny | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| 1811985237 | Craig J Shumard | Family Medicine | 825 22nd St, Fairbury, NE 68352-1221 | 2005-10-10 |
| Find all providers in FAIRBURY | ||||
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| 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.