Organization
JEFFERSON COUNTY HOSPITAL
Active
Parent organization
JEFFERSON COUNTY HOSPITAL
Other names
JCH Professional Clinic, 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) 469-4204
(641) 469-4208
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 469-4204
(641) 469-4208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
37410
IA
208600000X
Surgery Physician
Primary
22423
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468850
—
IA
01
—
33819
WELLMARK BC/BS OF IA
IA
Enumeration date
02/19/2008
Last updated
05/30/2025
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