| Jchc Provider Services | |
|
2000 S Main St Fairfield IA 52556-9572 | |
| (641) 472-4111 | |
| Not Available |
| Full Name | Jchc Provider Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 S Main St, Fairfield, Iowa |
| Authorized Official Name and Position | Larry Peach (CFO) |
| Authorized Official Contact | 6414694304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jchc Provider Services 2000 S Main St Fairfield IA 52556-9572 Ph: (641) 472-4111 | Jchc Provider Services 2000 S Main St Fairfield IA 52556-9572 Ph: (641) 472-4111 |
| NPI Number | 1245643972 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245643972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 510063H (Iowa) | Primary |
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