National Provider Identifier Database

GREENE COUNTY MEDICAL CENTER
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

GREENE COUNTY MEDICAL CENTER
1000 W LINCOLNWAY ST
JEFFERSON, IA50129-1645
Phone: 515-386-2114
Fax: 515-386-3695
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for GREENE COUNTY MEDICAL CENTER

NPI Number 1346462785
Legal business name
LBN
GREENE COUNTY MEDICAL CENTER
Authorized official MARK VANDERLINDEN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 06/08/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0166454

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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