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JEFFERSON COMMUNITY HEALTH CENTER INC. NPI 1194944819


NPI Information

NPI: 1194944819
Provider Name: JEFFERSON COMMUNITY HEALTH CENTER, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 28D0454733

Address:
2200 H ST
FAIRBURY, NE
ZIP 68352
Phone: (402) 729-3351
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JEFFERSON COMMUNITY HEALTH CENTER, INC. is a pharmacy in Fairbury, NE. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. JEFFERSON COMMUNITY HEALTH CENTER, INC. NPI is 1194944819. The provider is registered as an organization entity type.

The provider's business location address is:

2200 H ST
FAIRBURY, NE
ZIP 68352-119
Phone: (402) 729-3351
Fax: (402) 729-2102

The provider's authorized official is Chad E Jurgens .
The authorized official title is Cfo and has the following contact phone number (402) 729-3351.

The CLIA number assigned to this NPI record is 28D0454733 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 1/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy2505NEBRASKAYes
23336L0003XPharmacyLong Term Care PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12805109MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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