| Jefferson County Memorial Hospital, Inc | |
|
15630 Pinehurst Dr Suite 5 Basehor KS 66007-8233 | |
| (913) 774-4340 | |
| (913) 774-3379 |
| Full Name | Jefferson County Memorial Hospital, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15630 Pinehurst Dr, Basehor, Kansas |
| Authorized Official Name and Position | Jason Johnson (CFO) |
| Authorized Official Contact | 9139334020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson County Memorial Hospital, Inc 408 Delaware St Winchester KS 66097-4003 Ph: (913) 774-4340 | Jefferson County Memorial Hospital, Inc 15630 Pinehurst Dr Suite 5 Basehor KS 66007-8233 Ph: (913) 774-4340 |
| NPI Number | 1871969865 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871969865 | NPI | - | NPPES |
| 100080370F | Medicaid | KS | |
| 110046 | Other | KS | MEDICARE ID TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | H044001 (Kansas) | Primary |
Max-well Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15604 Pinehurst Dr Ste 4, Basehor, KS 66007 Phone: 913-662-0043 Fax: 913-662-0043 | |
Basehor-linwood Usd 458 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2008 N 155th St, Basehor, KS 66007 Phone: 913-724-1396 Fax: 913-724-2709 | |
Jefferson County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007 Phone: 913-662-7042 Fax: 913-662-7046 | |
Prime Healthcare Services - Saint John Leavenworth, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15604 Pinehurst Dr Ste 2, Basehor, KS 66007 Phone: 913-728-2200 |