JEFFERSON COUNTY HOSPITAL


Address: 2000 S Main St, Fairfield, IA 52556-9572
Phone: 6414724111

JEFFERSON COUNTY HOSPITAL (NPI# 1952409336) 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) 1952409336
Entity Type Organization
Organization Name JEFFERSON COUNTY HOSPITAL
Other Organization Name JCH ER SERVICES
Practice Address 2000 S Main St
Fairfield
IA 52556-9572
Practice Telephone 6414724111
Practice Fax Number 6414694375
Mailing Telephone 6414724111
Mailing Fax Number 6414694375
Enumeration Date 2006-09-20
Last Update Date 2020-02-26
Authorized Official Name LARRY DALE PEACH (CFO)
Authorized Official Telephone 6414694304
Is Organization Subpart Y
Parent Organization Name JEFFERSON COUNTY HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
03066 IA Allopathic & Osteopathic Physicians
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
510063H IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA WELLMARK BC/BS OF IOWA 07282 01
IA 0030031 05
IA WELLMARK BC/BS OF IOWA 03003 01
IA 2151191 05

Other Provider/Organization Names

Other Name Type Code
JCH ER SERVICES 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
1871690289 Jefferson County Hospital Nursing Facility/Intermediate Care Facility 400 Highland St, Fairfield, IA 52556-3713 2006-09-20
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

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 2000 S MAIN ST
City FAIRFIELD
State IA
Zip Code 52556-9572

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205945094 Michael Leon Pogel Psychiatry & Neurology 2000 S Main St, Fairfield, IA 52556-9572 2006-08-29
1528676699 Dustin C Lane Pharmacist 2000 S Main St, Fairfield, IA 52556-9572 2020-07-15
1891318564 Taylor Madison Buch Nurse Practitioner 2000 S Main St, Fairfield, IA 52556-9572 2020-05-28
1164990537 Rachel N Shaw Occupational Therapy Assistant 2000 S Main St, Fairfield, IA 52556-9572 2018-11-05
1982188918 Suzane Moore Speech-Language Pathologist 2000 S Main St, Fairfield, IA 52556-9572 2018-09-15
1558840553 Eric Dwayne Held Physical Therapist 2000 S Main St, Fairfield, IA 52556-9572 2018-08-09
1952889628 Katherine Page Mccloney Physical Therapist 2000 S Main St, Fairfield, IA 52556-9572 2018-08-03
1982106712 Raelee Lynn Bird Registered Nurse 2000 S Main St, Fairfield, IA 52556-9572 2018-03-07
1013416486 Karly Matlick Physical Therapist 2000 S Main St, Fairfield, IA 52556-9572 2018-02-12
1255849626 Jacob Wilson Physical Therapist 2000 S Main St, Fairfield, IA 52556-9572 2018-01-18
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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 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768239 Md1, Inc Emergency Medicine 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 2020-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538140405 Thomas Joseph Kafka Emergency Medicine Regional Medical Center, 709 West Main St., Manchester, IA 52057 2005-11-08
1477543668 Michael M Rosenblatt Emergency Medicine 1605 Haskell St, Burlington, IA 52601-1406 2005-10-27
1972098150 Amanda Sieve Emergency Medicine 1200 Pleasant St, Des Moines, IA 50309-1406 2018-06-29
1508374927 Kari Lynn Tessum Emergency Medicine 802 Kenyon Rd, Fort Dodge, IA 50501-5740 2018-01-19
1629312723 Ottumwa Er LLC Emergency Medicine 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 2012-11-15
1902162191 Sarah Wolf Field Emergency Medicine 500 E Market St, Iowa City, IA 52245 2012-04-02
1235422056 Brian Michael Kuchay Emergency Medicine 621 S Illinois Ave, Mason City, IA 50401-5405 2011-05-26
1497953350 Heather Noel Stein Poskevich Emergency Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2007-07-03
1689705949 Jackson County Public Hospital Emergency Medicine 700 W Grove St, Maquoketa, IA 52060-2163 2007-03-08
1164593109 Buena Vista Regional Medical Center Emergency Medicine 1525 W 5th St, Storm Lake, IA 50588-3027 2006-11-13
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Competitor

Search similar providers

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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