| Jefferson County Memorial Hospital | |
| 
					504 Plaza Dr Suite 300 Perry KS 66073-4136  | |
| (913) 774-4340 | |
| (913) 774-3379 | 
| Full Name | Jefferson County Memorial Hospital | 
|---|---|
| Speciality | Clinic/center - Multi-specialty | 
| Location | 504 Plaza Dr, Perry, Kansas | 
| Authorized Official Name and Position | Lamont Cook (CEO) | 
| Authorized Official Contact | 9137744340 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jefferson County Memorial Hospital 408 Delaware St Winchester KS 66097-4003 Ph: (913) 774-4340  | Jefferson County Memorial Hospital 504 Plaza Dr Suite 300 Perry KS 66073-4136 Ph: (913) 774-4340  | 
| NPI Number | 1447660360 | 
|---|---|
| Provider Enumeration Date | 04/30/2014 | 
| Last Update Date | 06/23/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447660360 | NPI | - | NPPES | 
| 110046 | Other | KS | MEDICARE ID-TYPE UNSPECIFIED | 
| 100080370F | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |