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General NPI Number Information
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NPI Number | 1942251269
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Entity Type | Organization
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Legal Business Name | JENNIE EDMUNDSON MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 933 E PIERCE ST
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-4626
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Country | US
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Telephone | 712-396-6000
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Fax | 712-396-6288
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Provider Business Mailing Address
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Address Line | PO BOX 2797
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City | OMAHA
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State | NE
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Zip | 68103-2797
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Country | US
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Telephone | 402-354-4230
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Fax | 402-354-6171
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Authorized Official
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Title or Position | VP FINANCE & CFO
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Name | JEFF FRANCIS
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Credential |
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Telephone | 402-354-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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