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

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: October 25, 2026.

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

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
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

Other Names 1

Doing Business AsO;shea Memorial Clinic

Other Identifiers 2

Other014014KS · Blue Cross/blue Shield
Medicaid100291010AKS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

O;shea Memorial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to O;shea Memorial Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner11
Family Practice5
Emergency Medicine1
Obstetrics/Gynecology1
Osteopathic Manipulative Medicine1

Clinicians, nearest first (19)

Osteopathic Manipulative Medicine
NPI 1366461741
810 W BRAMLEY ST
Jetmore, KS 67854
(620) 357-8354
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437765013
810 W BRAMLEY ST
Jetmore, KS 67854
(620) 357-8361
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487648945
810 W BRAMLEY ST
Jetmore, KS 67854
(620) 357-8354
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1023099686
2020 CENTRAL AVE
Dodge City, KS 67801
(620) 227-1371
✔ PECOS23 mi
Nurse Practitioner
NPI 1427426360
705 1ST AVE STE A
Dodge City, KS 67801
(620) 471-3140
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1346205929
625 KENTUCKY ST
Ashland, KS 67831
(620) 635-2241
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1629620406
5815 BROADWAY AVE
Great Bend, KS 67530
(620) 792-2544
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1053704361
1905 19TH ST
Great Bend, KS 67530
(620) 792-5700
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1962933648
206 S MAIN ST
Pratt, KS 67124
(620) 388-0462
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1639161052
300 N PARK AVE
Ellinwood, KS 67526
(620) 564-2548
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1326586637
123 E 2ND ST
Grainfield, KS 67737
(785) 953-5953
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1720459662
2131 N RIDGE RD
Wichita, KS 67212
(316) 773-1212
✔ PECOS138 mi
Family Practice
NPI 1396279378
761 W 175TH ST S
Caldwell, KS 67022
(620) 845-6492
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1972879203
805 BARKER DRIVE
Oswego, KS 67356
(620) 795-2525
✔ PECOS✔ Accepts Medicare270 mi
Nurse Practitioner
NPI 1801889597
2518 N MAIN ST
Miami, OK 74354
(918) 540-9077
✔ PECOS✔ Accepts Medicare288 mi
Family Practice
NPI 1447697750
3901 RAINBOW BLVD MS4010
Kansas City, KS 66160
(913) 588-1902
✔ PECOS✔ Accepts Medicare294 mi
Nurse Practitioner
NPI 1710353487
115 AIRPORT RD
Sulphur Springs, TX 75482
(903) 885-7671
✔ PECOS✔ Accepts Medicare417 mi
Emergency Medicine
NPI 1083729933
401 W GREENLAWN
Lansing, MI 48910
(231) 843-2591
✔ PECOS✔ Accepts Medicare869 mi
Family Practice
NPI 1538475793
211 13TH ST
Ramona, CA 92065
(760) 789-5160
✔ PECOS✔ Accepts Medicare1,015 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

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.

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 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.

Where is Hodgeman County Health Center located?

Hodgeman County Health Center is located at 810 W Bramley St, Jetmore, KS 67854. The listed phone number is (620) 357-8354.

What is Hodgeman County Health Center's specialty?

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

Is Hodgeman County Health Center enrolled in Medicare?

Yes. Hodgeman County Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hodgeman County Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Hodgeman County Health Center. 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 (11), Family Practice (5) and Emergency Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hodgeman County Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0924199) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hodgeman County Health Center accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Hodgeman County Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hodgeman County Health Center was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.