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Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Active
Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Active
Other names
Jefferson Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONT COOK (CEO)
(913) 774-4340
Entity
Organization
Contact information
Practice address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3379
Mailing address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080370F
—
KS
Enumeration date
02/08/2006
Last updated
09/09/2021
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