JEFFERSON MEDICAL CLINIC VALLEY FALLS
NPI 1265739288
Clinic/Center - Multi-Specialty in Valley Falls, KS

Active since February 28, 2011CLIA Certified · 2 labs
409 BROADWAY ST, VALLEY FALLS, KS 66088(913) 774-4340(913) 774-3379 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jefferson Medical Clinic Valley Falls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON MEDICAL CLINIC VALLEY FALLS (NPI 1265739288) is a healthcare organization registered as a multi-specialty in Valley Falls, Kansas and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Lamont Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265739288
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameJEFFERSON COUNTY MEMORIAL HOSPITAL
Location Address409 BROADWAY STValley Falls, KS 66088-1303
Mailing Address408 Delaware StWinchester, KS 66097-4003 · (913) 774-4340 · Fax (913) 774-3379
Fax(913) 774-3379
Organization SubpartNo
Authorized OfficialLamont CookCeo · (913) 774-4340
Enumeration DateFebruary 28, 2011
Last NPPES UpdateDecember 4, 2014
✔ NPI 1265739288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
409 BROADWAY ST, Valley Falls, KS 66088

Other Names 1

Doing Business AsJefferson Medical Clinic Valley Falls

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Medical Clinic Valley Falls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Jefferson Medical Clinic Valley Falls, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner7
Family Practice3

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1295187623
408 DELAWARE ST
Winchester, KS 66097
(913) 774-4340
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1609520550
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1083345920
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1598298176
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1689084477
4951 W 18TH ST
Lawrence, KS 66047
(785) 841-6540
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1063208874
818 N 7TH ST
Leavenworth, KS 66048
(913) 651-8860
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1437861218
1100 N 4TH ST
Leavenworth, KS 66048
(888) 381-4858
✔ PECOS✔ Accepts Medicare29 mi
Family Practice
NPI 1851367809
800 W FRONTIER LN
Olathe, KS 66061
(913) 397-7800
✔ PECOS48 mi
Nurse Practitioner
NPI 1104508662
9001 STATE LINE RD STE 300
Kansas City, MO 64114
(816) 363-2600
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1730725961
1169 SOUTHWIND DR
Junction City, KS 66441
(785) 350-4671
✔ PECOS79 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 17D0046649

Jefferson County Memorial Hospital Lab · Winchester, KS
Active · expires Jul 9, 2027
CLIA Number17D0046649
Laboratory TypeHospital
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorAllison Forrester
Laboratory Phone(913) 774-4340
Laboratory LocationJefferson County Memorial Hospital Lab408 Delaware St, Winchester, KS 66097
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 17D2035956

Jefferson Medical Clinic Of Winchester · Winchester, KS
Active · expires Dec 31, 2027
CLIA Number17D2035956
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorChelsea D. Willis
Laboratory Phone(844) 536-9449
Laboratory LocationJefferson Medical Clinic Of Winchester408 Delaware St, Winchester, KS 66097
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson County Memorial Hospital's NPI number?

The NPI number for Jefferson County Memorial Hospital is 1265739288. It was assigned to this organization in the NPPES registry on February 28, 2011. The provider is doing business as Jefferson Medical Clinic Valley Falls.

Where is Jefferson County Memorial Hospital located?

Jefferson County Memorial Hospital is located at 409 Broadway St, Valley Falls, KS 66088. The listed phone number is (913) 774-4340.

What is Jefferson County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Jefferson County Memorial Hospital enrolled in Medicare?

Yes. Jefferson County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Jefferson County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jefferson County Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jefferson County Memorial Hospital was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.