Organization Name: | JEFFERSON COMMUNITY HEALTH CENTER, INC. |
NPI Number: | 1477660397 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD E JURGENS (CEO) |
Mailing Address: | 2200 H St Box 277 Fairbury |
State: | NE US |
Postal Code: | 683521119 |
Phone Number: | 4027293351 |
Fax Number: | 4027292102 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 440001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |