| Jefferson Community Health Center, Inc. | |
|
825 22nd St Fairbury NE 68352-1221 | |
| (402) 729-3361 | |
| Not Available |
| Full Name | Jefferson Community Health Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 825 22nd St, Fairbury, Nebraska |
| Authorized Official Name and Position | Chance Klasek (CFO) |
| Authorized Official Contact | 4027296856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Health Center, Inc. 2200 H St Fairbury NE 68352-1119 Ph: () - | Jefferson Community Health Center, Inc. 825 22nd St Fairbury NE 68352-1221 Ph: (402) 729-3361 |
| NPI Number | 1336625474 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336625474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Fairbury Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 22nd St, Fairbury, NE 68352 Phone: 402-729-3361 Fax: 402-729-4010 | |
Jefferson Community Health & Life Fairbury Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 H St, Fairbury, NE 68352 Phone: 402-729-3361 |