HODGEMAN COUNTY HEALTH CENTER (NPI# 1790777324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790777324 |
| Entity Type | Organization |
| Organization Name | HODGEMAN COUNTY HEALTH CENTER |
| Other Organization Name | O;SHEA MEMORIAL CLINIC |
| Practice Address |
810 W Bramley St Jetmore KS 67854-9320 |
| Mailing Address |
Po Box 310 Jetmore KS 67854-0310 |
| Practice Telephone | 6203578354 |
| Practice Fax Number | 6203576460 |
| Mailing Telephone | 6203578354 |
| Mailing Fax Number | 6203576460 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD ALAN SNODGRASS (CHIEF OF STAFF) |
| Authorized Official Telephone | 6203578354 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS/BLUE SHIELD | 014014 | 01 |
| Other Name | Type Code |
|---|---|
| o;shea memorial clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417063819 | Hodgeman County Health Center | Clinic/Center | 205 Hall, Spearville, KS 67876 | 2006-08-21 |
| 1093821514 | Hodgeman County Health Center | General Acute Care Hospital | 809 W Bramley St, Jetmore, KS 67854-9320 | 2006-08-21 |
| 1821098252 | Hodgeman County Health Center | General Acute Care Hospital | 809 W. Bramley Street, # 310, Jetmore, KS 67854-9320 | 2005-07-28 |
| 1669715926 | Hodgeman County Health Center | Nursing Facility/Intermediate Care Facility | 809 W Bramley St, Jetmore, KS 67854-9320 | 2013-04-04 |
| Street Address |
810 W BRAMLEY ST |
| City | JETMORE |
| State | KS |
| Zip Code | 67854-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831471473 | Hodgeman County Medical Services | Physician Assistant | 810 W Bramley St, Jetmore, KS 67854-9320 | 2011-09-09 |
| 1629207931 | Melvin Kile Viney Jr. | Nurse Practitioner | 810 W Bramley St, Jetmore, KS 67854-9320 | 2009-07-08 |
| 1558473884 | Kristie M Clark | Pediatrics | 810 W Bramley St, Jetmore, KS 67854-9320 | 2006-08-31 |
| 1811903560 | Robert T Clark Jr. | Family Medicine | 810 W Bramley St, Jetmore, KS 67854-9320 | 2006-08-01 |
| 1891713467 | Sarah Kreger | Nurse Practitioner | 810 W Bramley St, Jetmore, KS 67854-9320 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1013460922 | Hodgeman County Pharmacy LLC | Pharmacy | 519 Main Street, Jetmore, KS 67854 | 2016-07-27 |
| 1306304928 | Hodgeman County Pharmacy LLC | Pharmacy | 519 Main St, Jetmore, KS 67854-0068 | 2019-03-04 |
| 1376758532 | John Reno | Pharmacist | 519 Main St, Box 68, Jetmore, KS 67854-0068 | 2007-05-11 |
| 1770571317 | John W Reno | Pharmacist | 519 Main St, Jetmore, KS 67854-0068 | 2005-10-07 |
| 1902853815 | County of Hodgeman | Public Health or Welfare | 500 Main St, Jetmore, KS 67854-0086 | 2006-05-27 |
| 1326436031 | Nicole Hergert | Specialist/Technologist | 28310 Se L Rd, Jetmore, KS 67854-5436 | 2015-01-03 |
| 1952636391 | Unified School District 227 | Clinic/Center | 301 Douglas St, Jetmore, KS 67854-9092 | 2009-10-02 |
| 1114295631 | Occupational Health Clinic LLC | Clinic/Center | 601 Atkin St, Jetmore, KS 67854-9307 | 2011-12-12 |
| 1770673733 | County of Hodgeman | Ambulance | 504 Roughton, Jetmore, KS 67854-9320 | 2006-10-13 |
| Find all providers in zip 67854 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491271 | Heartland Pediatric Therapy | Clinic/Center | 1677 Rainbow Rd, Lindsborg, KS 67456-5085 | 2020-09-11 |
| 1740893932 | Junction City Dialysis, LLC | Clinic/Center | 702 Caroline Ave, Junction City, KS 66441-5223 | 2020-08-26 |
| 1730709023 | Jay Enterprise LLC | Clinic/Center | 8315 W 119th Ter, Overland Park, KS 66213-1225 | 2020-04-16 |
| 1649833377 | Regenerative Treatment Centers | Clinic/Center | 11401 Nall Ave Ste 218, Leawood, KS 66211-1850 | 2019-04-18 |
| 1407327620 | White Cloud Health Center, LLC | Clinic/Center | 3349b Thrasher Rd, White Cloud, KS 66094-4005 | 2018-12-16 |
| 1326557158 | Lumen Care Center, LLC | Clinic/Center | 6800 Hilltop Rd Ste 101, Shawnee, KS 66226-3571 | 2017-09-25 |
| 1477070431 | Kc Wellness Center, Inc | Clinic/Center | 5417 Johnson Dr, Mission, KS 66205-2912 | 2017-08-29 |
| 1609303544 | Xenon Anesthesia of Kansas LLC | Clinic/Center | 2101 Sw 21st St, Topeka, KS 66604-3174 | 2017-05-22 |
| 1932635612 | Harmony Medical Clinic | Clinic/Center | 2290 N Tyler Rd Ste 300, Wichita, KS 67205-8760 | 2017-05-02 |
| 1568904415 | Saint Luke's Hospital of Allen County, Inc | Clinic/Center | 111 S 9th St, Humboldt, KS 66748-1809 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.