Organization
JEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Active
Other names
Jefferson Medical Clinic
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
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080370F
—
KS
Enumeration date
02/08/2006
Last updated
09/09/2021
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