| Organization Name: | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1457710790 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAMONT COOK (CEO) |
| Mailing Address: | 15630 Pinehurst Dr Suite 5 Basehor |
| State: | KS US |
| Postal Code: | 660078233 |
| Phone Number: | 9136627042 |
| Fax Number: | 9136627046 |
| NPI Enumeration Date: | 02/15/2016 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | H044001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |