Organization
JEFFERSON COUNTY HOSPITAL
Active
Other names
Jefferson County Health Center, Jefferson County Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ROBERT FEICKERT (CHIEF FINANCIAL OFFICER)
(641) 469-4304
Entity
Organization
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4359
(641) 469-4383
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4359
(641) 469-4383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
525
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130173
PK
—
Enumeration date
04/19/2011
Last updated
05/30/2025
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