O;SHEA MEMORIAL CLINIC
NPI 1790777324
Clinic/Center in Jetmore, KS

Q: What is Hodgeman County Health Center's NPI number?

The NPI number for Hodgeman County Health Center is 1790777324. It was assigned to this organization in the NPPES registry on August 19, 2005. The provider is doing business as O;shea Memorial Clinic.

Q: What is Hodgeman County Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 19, 2005CLIA 17D0924199 · Waiver

810 W BRAMLEY ST, JETMORE, KS 67854(620) 357-8354(620) 357-6460 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Mar 4, 2021, Aug 22, 2020 (3 updates tracked since 2020).

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About O;shea Memorial Clinic NPPES

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

O;SHEA MEMORIAL CLINIC (NPI 1790777324) is a healthcare organization registered as a clinic/center in Jetmore, Kansas and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Stacey Briggs, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790777324

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHODGEMAN COUNTY HEALTH CENTER

Location Address810 W BRAMLEY STJetmore, KS 67854-9320

Mailing AddressPo Box 310Jetmore, KS 67854-0310 · (620) 357-8354 · Fax (620) 357-6460

Phone(620) 357-8354

Fax(620) 357-6460

Organization SubpartNo

Authorized OfficialStacey BriggsCfo · (620) 357-8361

Enumeration DateAugust 19, 2005

Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1790777324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

810 W BRAMLEY ST, Jetmore, KS 67854

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Other Names 1

Doing Business AsO;shea Memorial Clinic

Other Identifiers 2

Other014014KS · Blue Cross/blue Shield

Medicaid100291010AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 17D0924199

Oshea Memorial Clinic · Jetmore, KS

Active · expires Jan 21, 2027

CLIA Number17D0924199

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 22, 2025

Certificate Expiration DateJanuary 21, 2027

Laboratory DirectorHelen Potente

Laboratory Phone(620) 357-8354

Laboratory LocationOshea Memorial Clinic810 W Bramley, Jetmore, KS 67854

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRO DAVID VANDO PEDROSA MD

Family Medicine