Organization
HODGEMAN COUNTY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY BRIGGS (OFFICE MANAGER (CFO))
(620) 357-8361
Entity
Organization
Contact information
Practice address
809 W. BRAMLEY STREET, # 310, JETMORE, KS 67854-9320
(620) 357-8361
(620) 357-6120
Mailing address
809 W BRAMLEY ST, P.O. BOX 310, JETMORE, KS 67854-9320
(620) 357-8361
(620) 357-6120
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HO42001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000171
BLUE CROSS
—
05
—
100099040A
—
KS
05
—
100099040C
—
KS
05
—
100106840A
—
KS
05
—
100244010C
—
KS
Enumeration date
07/28/2005
Last updated
07/22/2009
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