JEFFERSON COMMUNITY HEALTH CENTER, INC. (NPI# 1477660397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477660397 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | JEFFERSON COMMUNITY HEALTH CENTER |
| Practice Address |
2200 H St Box 277 Fairbury NE 68352-1119 |
| Mailing Address |
2200 H St Po Box 277 Fairbury NE 68352-1119 |
| Practice Telephone | 4027293351 |
| Practice Fax Number | 4027292102 |
| Mailing Telephone | 4027293351 |
| Mailing Fax Number | 4027292102 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | CHAD E JURGENS (CEO) |
| Authorized Official Telephone | 4027293351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
440001 | NE | Hospitals |
| Other Name | Type Code |
|---|---|
| Jefferson Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336625474 | Jefferson Community Health Center, Inc. | Clinic/Center | 825 22nd St, Fairbury, NE 68352-1221 | 2018-07-12 |
| 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 |
| Street Address |
2200 H ST BOX 277 |
| City | FAIRBURY |
| State | NE |
| Zip Code | 68352-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1245747179 | Kelsey Rae Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2017-12-31 |
| 1053796177 | Nichole Schlake | Physical Therapist | 2200 H St, Fairbury, NE 68352-1119 | 2015-07-30 |
| 1275926792 | Kahla Chrisman | Physical Therapy Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2015-03-09 |
| 1821429135 | Matthew James Johnson | Physical Therapy Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2013-12-12 |
| 1366793887 | Justin Schardt | Physical Therapist | 2200 H St, Fairbury, NE 68352-1119 | 2012-09-24 |
| 1417198367 | Jefferson Community Health Center, Inc | Skilled Nursing Facility | 2200 H St, Fairbury, NE 68352-1119 | 2009-03-23 |
| 1548417298 | Lisa A Edeal | Nutritionist | 2200 H St, Fairbury, NE 68352-1119 | 2008-08-25 |
| 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 |
| 1134412992 | Fairbury Assisted Living Facility | Assisted Living Facility | 828 22nd St, Fairbury, NE 68352-1202 | 2011-05-26 |
| 1992322481 | Morgan Hill | Physical Therapist | 909 17th St, Fairbury, NE 68352-1215 | 2020-06-30 |
| 1558891796 | Vsl Fairbury LLC | Skilled Nursing Facility | 909 17th St, Fairbury, NE 68352-1215 | 2017-06-19 |
| Find all providers in zip 68352 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144633223 | Regional West Garden County | General Acute Care Hospital | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-06 |
| 1184837262 | Alegent Health | General Acute Care Hospital | Midlands Hospital, 11111 South 84th Street, Papillion, NE 68046 | 2007-05-07 |
| 1467675629 | Chadron Community Hospital Corp. | General Acute Care Hospital | 825 Centennial Dr., Chadron, NE 69337-9400 | 2007-04-10 |
| 1982725644 | University of Nebraska Medical Center | General Acute Care Hospital | 985000 Nebraska Medical Center, Omaha, NE 68198-1150 | 2007-04-02 |
| 1609965805 | Osmond General Hospital Inc | General Acute Care Hospital | 402 N Maple St, Osmond, NE 68765-5726 | 2006-10-12 |
| 1093802688 | Dundy County Hospital | General Acute Care Hospital | 1313 North Cheyenne Street, Benkelman, NE 69021-3074 | 2006-10-06 |
| 1689769382 | Fillmore County Hospital | General Acute Care Hospital | 1900 F St, Geneva, NE 68361-2229 | 2006-10-04 |
| 1922106152 | Howard County Medical Center | General Acute Care Hospital | 1113 Sherman St, Saint Paul, NE 68873 | 2006-09-20 |
| 1063429694 | Memorial Community Health, Inc | General Acute Care Hospital | 1423 7th St, Aurora, NE 68818-1141 | 2006-08-03 |
| 1124035225 | Harlan County Health System | General Acute Care Hospital | 717 Brown St, Alma, NE 68920-2132 | 2006-08-02 |
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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.