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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GREENE COUNTY MEDICAL CENTER

NPI # 1346462785
LBN Legal business name GREENE COUNTY MEDICAL CENTER
Authorized official MARK VANDERLINDEN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 06/08/2016 - About 10 years ago
Identifiers
IA Medicaid 0166454
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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