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CAH161364-00 JEFFERSON COUNTY HEALTH CENTER (Active)
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Main Details
Name
JEFFERSON COUNTY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161364-00
Medicare Provider Number
161364
Additional Details
Current Program Status
Active
Registration Date
8/6/2010
Participating Start Date
8/24/2010
Participating Approval Date
8/6/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Jefferson County Health Center
BRYAN HUNGER, CEO
(641) 469-4303
Primary Contact
Jefferson County Health Center
Katie Mitchell, Pharmacy Manager
(641) 469-4359
Addresses
Street Address
2000 SOUTH MAIN STREET
FAIRFIELD, IA 52556
Billing Address
JEFFERSON COUNTY HEALTH CENTER
P.O BOX 588
FAIRFIELD, IA 52556
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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