JEFFERSON COUNTY MEMORIAL HOSPITAL INC (NPI# 1588966378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588966378 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL INC |
| Other Organization Name | JEFFERSON MEDICAL CLINIC |
| Practice Address |
408 Delaware St Winchester KS 66097-4003 |
| Practice Telephone | 9137744340 |
| Practice Fax Number | 9137743379 |
| Mailing Telephone | 9137744340 |
| Mailing Fax Number | 9137743379 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | SHELLY LUDWIG (CONTROLLER) |
| Authorized Official Telephone | 9137744340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1477582088 | Jefferson County Memorial Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 408 Delaware St, Winchester, KS 66097-4003 | 2006-07-03 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
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| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| Find all providers with the same taxonomy | ||||
| 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.