Organization
JENNIE EDMUNDSON MEMORIAL HOSPITAL
Active
Other names
JE Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF FRANCIS (VP FINANCE & CFO)
(402) 354-5438
Entity
Organization
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6000
(712) 396-6288
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08871
WELLMARK
IA
05
—
088716
—
IA
05
—
10025220600
—
NE
05
—
10025857700
—
NE
05
—
10025873100
—
NE
01
—
CV0019
RAILROAD
IA
Enumeration date
05/12/2006
Last updated
10/16/2025
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