NPIMap

Organization Active NPI

Jefferson County Hospital

  • Institutional Pharmacy
  • Fairfield, IA
National Provider Identifier
1487944856
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
525 Issued in IA
Legal business name
JEFFERSON COUNTY HOSPITAL
Practice address
2000 S Main St
Fairfield, IA 52556-9572
Phone
(641) 469-4359
Fax
(641) 469-4383
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Brent Robert Feickert
Title
Chief Financial Officer
Phone
(641) 469-4304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 525 IA Primary

Addresses

Primary practice location

2000 S Main St
Fairfield, IA 52556-9572

Mailing address

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 469-4359

Other identifiers 1

IdentifierTypeStateIssuer
2130173OtherPK

Other names 2

  • Jefferson County Health Center Doing business as
  • Jefferson County Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Co Hospitla11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

3540 E 46th St
Davenport, IA 52807
Phone (563) 359-1170

1271 Bay Ridge Pkwy
Brooklyn, NY 11228
Phone (718) 680-4535

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1487944856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-469-4359",
            "fax_number": "641-469-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-469-4359",
            "fax_number": "641-469-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "FEICKERT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "641-469-4304"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IA",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson County Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson County Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.