Organization
JEFFERSON COUNTY PATIENT CARE SERVICES
Active
Other names
Patient Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D JACKSON RN, MPH (PRESIDENT/CEO)
(636) 797-4913
Entity
Organization
Contact information
Practice address
10679 HIGHWAY 21, HILLSBORO, MO 63050-5094
(636) 797-4913
(636) 797-5876
Mailing address
10679 HIGHWAY 21, HILLSBORO, MO 63050-5094
(636) 797-4913
(636) 797-5876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
263-18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105406
BLUE CHOICE
MO
01
—
6000023
UHCMCC
MO
Enumeration date
03/15/2006
Last updated
08/22/2020
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