Organization · Type 2 NPI

Jefferson Community Health Center Inc

Rural Health Clinic/Center · Plymouth, NE

NPI number 1215445994 Active

Practice location

316 N Madison Ave, Ste 200
Plymouth, NE 68424-4110

Call (402) 729-6888 Map

Mailing address

PO Box 277
Fairbury, NE 68352-0277

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1215445994
Entity type: Organization (Type 2)
Issued: Jan 17, 2018
Last updated: Jun 24, 2019
Status: Active
Subpart: Yes of Jefferson Community Health Center Inc

Other names

<unavail>
Jefferson Community Health & Life Plymouth Clinic · doing business as
Plymouth Clinic · doing business as
The Plymouth Clinic · doing business as

Authorized official

Chad Jurgens
CEO
(402) 729-3351

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215445994

Jefferson Community Health Center Inc's National Provider Identifier is 1215445994, issued on Jan 17, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Plymouth, NE. The record was last updated on Jun 24, 2019.