Jefferson County Memorial Hospital, Inc.
Organization Active NPI Nursing Facility/Intermediate Care Facility · Winchester, KS
NPI 1477582088 · NPPES record last updated May 1, 2009
Key facts
- NPI
- 1477582088
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- HO44001 (KS)
- Legal business name
- JEFFERSON COUNTY MEMORIAL HOSPITAL, INC.
- Practice address
- 408 Delaware St
Winchester, KS 66097-4003 - Phone
- (913) 774-4340
- Fax
- (913) 774-3329
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Lamont M Cook
- Title
- Chief Executive Officer
- Phone
- (913) 774-4340
Corporate family (same tax ID) 7
Practitioners 2
-
Laurie J Conway, MD
National Provider Directory
- Tax ID family
- Jefferson Co Mem Hosp Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | HO44001 | KS | Yes |
Addresses
Primary practice location
408 Delaware St
Winchester, KS 66097-4003
Mailing address
408 Delaware St
Winchester, KS 66097-4003
Phone (913) 774-4340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107040A | Medicaid | KS |
Other names
- Jefferson County Memorial Hospital Geriatric Care Center
Other providers in Winchester, KS
- Jefferson County Memorial Hospital Inc
- Jefferson County Memorial Hospital, Inc
- Jefferson County Memorial Hospital, Inc
- Jefferson County Memorial Hospital, Inc
- Jefferson County Memorial Hospital, Inc.
- Jefferson County North Usd339
- Michael F Law
- Geraldine Loween Long
- Mark D Miller
- Cristin Noll
All providers in Winchester, KS · Nursing Facility/Intermediate Care Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.