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Organization

COUNTY OF JEFFERSON

Active
Other names
Hospice of Jefferson County
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNE MARIE CZOCH RN, BSN (HOME CARE DIRECTOR)
(785) 863-2447
Entity
Organization

Contact information

Practice address
1212 WALNUT ST, OSKALOOSA, KS 66066-4200
(785) 863-2447
(785) 863-3323
Mailing address
1212 WALNUT ST, OSKALOOSA, KS 66066-4200
(785) 863-2447
(785) 863-3323

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
Z044001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00818
BCBS
KS
05
100089340E
KS
Enumeration date
07/11/2005
Last updated
06/17/2011
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