JEFFERSON COUNTY MEMORIAL HOSPITAL, INC. (NPI# 1477582088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477582088 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL, INC. |
| Other Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL GERIATRIC CARE CENTER |
| Practice Address |
408 Delaware St Winchester KS 66097-4003 |
| Practice Telephone | 9137744340 |
| Practice Fax Number | 9137743329 |
| Mailing Telephone | 9137744340 |
| Mailing Fax Number | 9137743329 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-05-01 |
| Authorized Official Name | MR. LAMONT M COOK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9137744340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | HO44001 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100107040A | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson County Memorial Hospital Geriatric Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366476483 | Jefferson County Memorial Hospital, Inc. | Assisted Living Facility | 408 Delaware St, Winchester, KS 66097-4003 | 2006-07-11 |
| Street Address |
408 DELAWARE ST |
| City | WINCHESTER |
| State | KS |
| Zip Code | 66097-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750354908 | Jefferson County Memorial Hospital | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-02-08 |
| 1437798758 | Kelly Jones | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2020-01-03 |
| 1275040131 | Heather Regann Aranda | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2018-01-02 |
| 1700245057 | Jefferson County Memorial Hospital | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2016-02-15 |
| 1588966378 | Jefferson County Memorial Hospital Inc | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2010-11-30 |
| 1043480601 | Joan T Foster | Occupational Therapist | 408 Delaware St, Winchester, KS 66097-4003 | 2008-03-10 |
| 1952485583 | Michael F Law | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-10-24 |
| 1114012226 | Geraldine L Long | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2006-10-04 |
| 1154425544 | Mark D Miller | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-09-07 |
| 1366476483 | Jefferson County Memorial Hospital, Inc. | Assisted Living Facility | 408 Delaware St, Winchester, KS 66097-4003 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215968870 | James V Rider | Family Medicine | 4th and Winchester, Winchester, KS 66097 | 2006-07-05 |
| 1790987691 | Cristin Noll | Physical Therapy Assistant | 25752 Limit Rd, Winchester, KS 66097-3006 | 2007-06-03 |
| 1548237753 | Mary L Rardin | Family Medicine | 408 Delaware, Winchester, KS 66097-4003 | 2006-03-07 |
| 1831322122 | Jefferson County North Usd339 | Local Education Agency (LEA) | 310 5th St, Winchester, KS 66097-4139 | 2009-09-02 |
| 1518998301 | Winchester Medical Clinic An Operating Division of Sfhc | Family Medicine | 306 Winchester St, Winchester, KS 66097-4151 | 2006-07-06 |
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
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|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
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| City | WINCHESTER |
| Zip Code | 66097 |
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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.