# JOHNSON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHNSON COUNTY HOSPITAL
- **Other names:** JCH Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780895110
- **Legal business name:** JOHNSON COUNTY HOSPITAL
- **Authorized official:** MARY JANE KENT (CEO)
- **Authorized official phone:** (402) 335-3361

## Contact information

- **Practice address:** 202 HIGH STREET, TECUMSEH, NE 68450
- **Practice address phone:** (402) 335-3361
- **Practice address fax:** (402) 335-6342
- **Mailing address:** PO BOX 538, TECUMSEH, NE 68450-0538
- **Mailing address phone:** (402) 335-2811
- **Mailing address fax:** (402) 335-2826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 01/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025541800 | — | NE |
| 05 | — | 10025542100 | — | NE |