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NPI Code Detail

MEDICARE: JEFFERSON COMMUNITY HEALTH CENTER, INC.

MEDICARE: JEFFERSON COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit440001NE

General Provider Information

NPI Number : 1992808372
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 2200 H ST
Second Line : PO BOX 277
City : FAIRBURY
State : NE
Zip : 68352-1119
Country : US
Telephone Number : 402-729-3351
Fax Number : 402-729-2102
Provider Business Practice Location Address
First Line : 2200 H ST
Second Line : BOX 277
City : FAIRBURY
State : NE
Zip : 68352-1119
Country : US
Telephone Number : 402-729-3351
Fax Number : 402-729-2102
Authorized Official
Title or Position : CFO
Name : CHAD E JURGENS
Credential :
Telephone Number : 402-729-3351
Provider Enumeration Date : 09/07/2006
Last Update Date : 06/10/2014

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