JEFFERSON COUNTY HOSPITAL


Address: 400 Highland St, Fairfield, IA 52556-3713
Phone: 6414724111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 510063H IA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0809681 05

Other Provider/Organization Names

Other Name Type Code
JCH LIVING CARE CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JEFFERSON COUNTY HOSPITAL 870 Main St, Fayette, MS 39069-5695

Office Location

Street Address 400 HIGHLAND ST
City FAIRFIELD
State IA
Zip Code 52556-3713

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FAIRFIELD
Zip Code 52556

Improve Information

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Dataset Information

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.

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