JEFFERSON COUNTY MEMORIAL HOSPITAL (NPI# 1750354908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750354908 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| 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 | 2006-02-08 |
| Last Update Date | 2014-12-04 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100080370F | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson Medical Clinic | Doing Business As Name - 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 |
| 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 |
| 1700245057 | Jefferson County Memorial Hospital | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 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 |
|---|---|---|---|---|
| 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 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1467017137 | Megan Catherine Kish | Physician Assistant | 111 Cahille Dr, Winchester, VA 22602-6797 | 2019-05-07 |
| 1518430628 | Sean Michael Nadalin | Physician Assistant | 921 Orchard Hill Dr, Winchester, VA 22601-2771 | 2019-01-10 |
| 1417457193 | Brianna Renee Rosskamp | Physician Assistant | 607 E Jubal Early Dr Apt 1, Winchester, VA 22601-5178 | 2018-02-19 |
| 1770038739 | Rupal Patel | Physician Assistant | 207 Gateway Dr, Winchester, VA 22603-5835 | 2016-08-19 |
| 1932497419 | Angela Lynn Ettinger | Physician Assistant | 190 Campus Blvd, Ste. 300, Winchester, VA 22601 | 2011-07-18 |
| 1508049354 | William E Dalton | Physician Assistant | 106 Launchris Dr, Winchester, VA 22602-6610 | 2007-12-14 |
| 1639274921 | Melissa Lilly | Physician Assistant | 1870 Amherst Suite 2b, Winchester, VA 22601 | 2006-09-13 |
| 1508874033 | Alyson P Humphreys | Physician Assistant | 128 Medical Circle, Winchester, VA 22601 | 2006-08-03 |
| 1144278219 | Rachel Ann Carlson | Physician Assistant | 160 Merchant St Ste 200, Winchester, VA 22603-4772 | 2006-05-04 |
| Find all providers in WINCHESTER | ||||
| 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.