# JEFFERSON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JCHC Richland Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881294536
- **Authorized official:** LARRY DALE PEACH (CFO)
- **Authorized official phone:** (641) 469-4304

## Contact information

- **Practice address:** 107 W HARRISON ST, RICHLAND, IA 52585-9549
- **Practice address phone:** (641) 469-4309
- **Practice address fax:** (641) 469-4440
- **Mailing address:** 2000 S MAIN ST, FAIRFIELD, IA 52556-9572
- **Mailing address phone:** (641) 469-4309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2020
- **Last updated:** 11/02/2020