# GREENE COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greene County Medical Center HHA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063592582
- **Authorized official:** MR. MARK A VANDERLINDEN (CFO)
- **Authorized official phone:** (515) 386-2114

## Contact information

- **Practice address:** 1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
- **Practice address phone:** (515) 386-2114
- **Practice address fax:** (515) 386-3695
- **Mailing address:** 1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
- **Mailing address phone:** (515) 386-2114
- **Mailing address fax:** (515) 386-3695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 06/08/2016