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Contact Information

JEFFERSON COUNTY MEMORIAL HOSPITAL
15630 PINEHURST DR
SUITE 5
BASEHOR, KS66007-8233
 Phone: 913-662-7042
 Fax: 913-662-7046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for JEFFERSON COUNTY MEMORIAL HOSPITAL

NPI # 1457710790
LBN Legal business name JEFFERSON COUNTY MEMORIAL HOSPITAL
Authorized official LAMONT COOK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2016
Last updated 02/15/2016 - About 10 years ago
Identifiers
KS License # H044001
KS Medicaid 100080370F
KS Other 110046 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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