Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL
Active
Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL
Active
Other names
Jefferson Medical Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONT COOK (CEO)
(913) 774-4340
Entity
Organization
Contact information
Practice address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3379
Mailing address
408 DELAWARE ST, WINCHESTER, KS 66097-4003
(913) 774-4340
(913) 774-3379
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
H044001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080370F
—
KS
01
—
110046
MEDICARE
KS
Enumeration date
02/15/2016
Last updated
02/15/2016
Update your record
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