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Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC.
Active
Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC.
Active
Other names
Jefferson County Memorial Hospital Geriatric Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT M COOK (CHIEF EXECUTIVE OFFICER)
(913) 774-4340
Entity
Organization
Contact information
Practice address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3329
Mailing address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3329
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
HO44001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107040A
—
KS
Enumeration date
07/03/2006
Last updated
05/01/2009
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