JEFFERSON COUNTY HOSPITAL (NPI# 1871690289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871690289 |
Entity Type | Organization |
Organization Name | JEFFERSON COUNTY HOSPITAL |
Other Organization Name | JCH LIVING CARE CENTER |
Practice Address |
400 Highland St Fairfield IA 52556-3713 |
Practice Telephone | 6414724111 |
Practice Fax Number | 6414694375 |
Mailing Telephone | 6414724111 |
Mailing Fax Number | 6414694375 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-12-30 |
Authorized Official Name | MRS. DEBORAH K CARDIN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6414724111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 510063H | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0809681 | 05 |
Other Name | Type Code |
---|---|
JCH LIVING CARE CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
1043204555 | Jefferson County Hospital | General Acute Care Hospital | 870 South Main Street, Fayette, MS 39069-0577 | 2005-09-12 |
1386018083 | Jefferson County Hospital | Psychiatric Unit | 870 Main St, Fayette, MS 39069-5695 | 2015-11-18 |
1457728008 | Jefferson County Hospital | Clinic/Center | 2000b S Main St, Fairfield, IA 52556-9572 | 2015-08-31 |
1245643972 | Jefferson County Hospital | Family Medicine | 2000 S Main St, Fairfield, IA 52556-9572 | 2014-06-10 |
1487944856 | Jefferson County Hospital | Pharmacy | 2000 S Main St, Fairfield, IA 52556-9572 | 2011-04-19 |
1972771384 | Jefferson County Hospital | Internal Medicine | 2000 S Main St, Fairfield, IA 52556-9572 | 2008-02-19 |
1780894253 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-23 |
1407071913 | Jefferson County Hospital | Personal Emergency Response Attendant | 2000 S Main St, Fairfield, IA 52556-9572 | 2007-04-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JEFFERSON COUNTY HOSPITAL | 870 Main St, Fayette, MS 39069-5695 |
Street Address |
400 HIGHLAND ST |
City | FAIRFIELD |
State | IA |
Zip Code | 52556-3713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992198758 | Midwest Case Management Inc. | Case Management | 400 Highland St, Fairfield, IA 52556-3772 | 2015-03-17 |
1477797173 | Sunny Brook Living Care Center, L.c. | Skilled Nursing Facility | 400 Highland St, Fairfield, IA 52556-0588 | 2009-04-24 |
1942322474 | Karen S Machholzwesely | Occupational Therapy Assistant | 400 Highland St, Fairfield, IA 52556-3713 | 2007-04-04 |
1558481762 | Christina Jane Meeker | Physical Therapist | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-30 |
1487770988 | Denise Marie Gallagher | Occupational Therapist | 400 Highland St, Jefferson County Hospital, Fairfield, IA 52556-3713 | 2007-03-22 |
1134245301 | Sara J. Boecker | Physical Therapy Assistant | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-21 |
1619093994 | Lilimore Villaflor Ramoneswells | Physical Therapist | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-21 |
1255457537 | Margie Padget | Physical Therapy Assistant | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-21 |
1639295942 | Julie L Aeschliman | Physical Therapist | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-21 |
1003932179 | Marcia Ellen Holsinger | Physical Therapy Assistant | 400 Highland St, Fairfield, IA 52556-3713 | 2007-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
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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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235563701 | Na | Nursing Facility/Intermediate Care Facility | 3385 Greenwich Dr, Fairfield, OH 45014-5322 | 2013-09-02 |
1952687279 | Michael's Project, Inc | Nursing Facility/Intermediate Care Facility | 3038 Pecan Cir, Fairfield, CA 94533-7013 | 2011-11-01 |
1013125749 | Michaels Project Inc | Nursing Facility/Intermediate Care Facility | 1132 Gulf Dr, Fairfield, CA 94533-7716 | 2007-05-18 |
1871700369 | Michaels Project Inc | Nursing Facility/Intermediate Care Facility | 1152 Hickory Ave, Fairfield, CA 94533-7094 | 2007-05-16 |
1780776252 | Parkview Care Center Inc | Nursing Facility/Intermediate Care Facility | 2237 Highway 34, Fairfield, IA 52556-8560 | 2006-09-29 |
1821186479 | Fairfield Memorial Hospital | Nursing Facility/Intermediate Care Facility | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
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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.