# JEFFERSON COMMUNITY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336625474
- **Authorized official:** CHANCE KLASEK (CFO)
- **Authorized official phone:** (402) 729-6856

## Contact information

- **Practice address:** 825 22ND ST, FAIRBURY, NE 68352-1221
- **Practice address phone:** (402) 729-3361
- **Mailing address:** 2200 H ST, FAIRBURY, NE 68352-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018