Organization
HODGEMAN COUNTY HEALTH CENTER
Active
Other names
o;shea memorial clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BRIGGS (CFO)
(620) 357-8361
Entity
Organization
Contact information
Practice address
810 W BRAMLEY ST, JETMORE, KS 67854-9320
(620) 357-8354
(620) 357-6460
Mailing address
PO BOX 310, JETMORE, KS 67854-0310
(620) 357-8354
(620) 357-6460
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014014
BLUE CROSS/BLUE SHIELD
KS
05
—
100291010A
—
KS
Enumeration date
08/19/2005
Last updated
11/08/2022
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