Organization
JEFFERSON COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD E JURGENS (CFO)
(402) 729-3351
Entity
Organization
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3351
(402) 729-2102
Mailing address
PO BOX 277, FAIRBURY, NE 68352-0277
(402) 729-3351
(402) 729-2102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2505
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805109
—
NE
Enumeration date
04/24/2007
Last updated
01/14/2019
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