Organization
JEFFERSON COUNTY HOSPITAL
Active
Parent organization
JEFFERSON COUNTY HOSPITAL
Other names
JCH ER SERVICES, Jefferson County Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COUNTY HOSPITAL
Authorized official
BRENT ROBERT FEICKERT (CHIEF FINANCIAL OFFICER)
(641) 469-4304
Entity
Organization
Contact information
Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4111
(641) 469-4375
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4111
(641) 469-4375
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
510063H
IA
207RG0100X
Gastroenterology Physician
03066
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030031
—
IA
01
—
03003
WELLMARK BC/BS OF IOWA
IA
01
—
07282
WELLMARK BC/BS OF IOWA
IA
05
—
2151191
—
IA
Enumeration date
09/20/2006
Last updated
05/30/2025
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