Organization Name: | JACKSON COUNTY PUBLIC HOSPITAL |
NPI Number: | 1326002643 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CURT M COLEMAN (CEO) |
Mailing Address: | 700 W Grove St Maquoketa |
State: | IA US |
Postal Code: | 520602163 |
Phone Number: | 5636522474 |
Fax Number: | 5636524096 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 490099H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |