Jefferson County Memorial Hospital Foundation, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JEFFERSON COUNTY MEMORIAL HOSPITAL FOUNDATION, INC.

Practice address

509 Delaware Street
Oskaloosa, KS 66066

Phone

(785) 863-3401

Fax

(785) 863-3405

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Gigstad

Title

President of Board of Directors

Phone

(913) 774-4340

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• FW Huston Pharmacy Doing business as

Tax ID family

FW Huston Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jefferson County Memorial Hospital Foundation, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oskaloosa, KS
  • NPI 1306881719
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine Bredahl, RPH

  • Pharmacist
  • Oskaloosa, KS
  • NPI 1447593983
  NPD (past)
• Kimberly Troupe

  • Pharmacist
  • Oskaloosa, KS
  • NPI 1275080681
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1689605263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DELAWARE STREET",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "66066",
            "telephone_number": "785-863-3401",
            "fax_number": "785-863-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 DELAWARE STREET",
            "city": "OSKALOOSA",
            "state": "KS",
            "postal_code": "66066",
            "telephone_number": "785-863-3401",
            "fax_number": "785-863-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY MEMORIAL HOSPITAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "GIGSTAD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "913-774-4340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "209658",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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": "100444240B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FW Huston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holland Eye Clinic, P.a.
• Charles Heath Holland, O.D.
• Jeannette Lorraine Holland, O.D.
• Neil Iles, TLMFT
• Jefferson County Memorial Hospital Foundation, Inc.
• Jefferson County Service Organization
• Kaw Valley Counseling, LLC
• Kincaid Chiropractic
• Kso Home Care LLC
• Crystal Leming, LCP

• All providers in Oskaloosa, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.