Organization
JEFFERSON COUNTY HOSPITAL
Active
Other names
JCH LIVING CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH K CARDIN (CHIEF EXECUTIVE OFFICER)
(641) 472-4111
Entity
Organization
Contact information
Practice address
400 HIGHLAND ST, FAIRFIELD, IA 52556-3713
(641) 472-4111
(641) 469-4375
Mailing address
400 HIGHLAND ST, FAIRFIELD, IA 52556-3713
(641) 472-4111
(641) 469-4375
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
510063H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809681
—
IA
Enumeration date
09/20/2006
Last updated
12/30/2008
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