JEFFERSON COUNTY MEMORIAL HOSPITAL (NPI# 1700245057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700245057 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | JEFFERSON MEDICAL URGENT CARE |
| 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 | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| 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 |
H044001 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100080370F | 05 | |
| KS | MEDICARE | 110046 | 01 |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Urgent Care | Other Name - Individual/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 |
| 1265739288 | Jefferson County Memorial Hospital | Clinic/Center | 409 Broadway St, Valley Falls, KS 66088-1303 | 2011-02-28 |
| 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 |
| 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 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1619435542 | Sara Dietrich Mcgowan | Clinic/Center | 189 Washington St # 2, Winchester, MA 01890-2141 | 2019-03-11 |
| 1003099938 | Winchester Addiction Services Plc | Clinic/Center | 3042 Valley Ave. Suite 110, Winchester, VA 22601-2755 | 2007-12-13 |
| 1194985960 | Southern Hills Therapy Services | Clinic/Center | 398 Fincastle Rd, Winchester, OH 45697-9783 | 2008-06-14 |
| 1053371625 | Winchester Med Cons | Clinic/Center | 212 Linden Dr, Suite 152, Winchester, VA 22601-2894 | 2006-03-27 |
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| 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 | 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.