NPIMap

Organization Active NPI

Jefferson Community Health Center, Inc.

  • Pharmacy
  • Fairbury, NE
National Provider Identifier
1194944819
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2505 Issued in NE
Legal business name
JEFFERSON COMMUNITY HEALTH CENTER, INC.
Practice address
2200 H St
Fairbury, NE 68352-1119
Phone
(402) 729-3351
Fax
(402) 729-2102
NPI assigned
Apr 24, 2007
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chad E Jurgens
Title
Cfo
Phone
(402) 729-3351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2505 NE Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2200 H St
Fairbury, NE 68352-1119

Mailing address

PO Box 277
Fairbury, NE 68352-0277
Phone (402) 729-3351

Other identifiers 1

IdentifierTypeStateIssuer
2805109MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Community Healt6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2b9c31ea-6ddc-4b55-946f-2c60cc32be99/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1194944819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683520277",
            "telephone_number": "402-729-3351",
            "fax_number": "402-729-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 H ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521119",
            "telephone_number": "402-729-3351",
            "fax_number": "402-729-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "JURGENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-729-3351"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NE",
            "license": "2505",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805109",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.