NPIMap

Organization Active NPI

Hodgeman County Health Center

  • Critical Access Hospital
  • Jetmore, KS
National Provider Identifier
1093821514
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
HO42001 Issued in KS
Legal business name
HODGEMAN COUNTY HEALTH CENTER
Practice address
809 W Bramley St
Jetmore, KS 67854-9320
Phone
(620) 357-8361
Fax
(620) 357-6120
NPI assigned
Aug 21, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Stacey J Briggs
Title
Office Manager
Phone
(620) 357-8361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X HO42001 KS Primary

Addresses

Primary practice location

809 W Bramley St
Jetmore, KS 67854-9320

Mailing address

PO Box 310
Jetmore, KS 67854-0310
Phone (620) 357-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220524000676 KS Part A Provider - Critical Access Hospital 5799696894 Practice locations: Jetmore, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093821514. Details of each certification follow.

Hospital certification: CCN 17Z369

Legal name
HODGEMAN COUNTY HEALTH CENTER
Doing business as
HODGEMAN COUNTY HEALTH CENTER
Organization structure
OtherNon-profit
Enrollment address
809 W Bramley St
Jetmore, KS 67854-9320
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sidni Durler Individual W-2 Managing EmployeeAd; Jul 28, 2025
Stacey Briggs Individual W-2 Managing EmployeeCfo Jul 30, 2025
County of Hodgeman Organization, Jetmore, KS 5% Or Greater Direct Ownership Interest Apr 12, 1970 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Hodgeman

    dba Hodgeman County Ambulance

    • Land Ambulance
    • Jetmore, KS
    • NPI 1770673733

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Hodgeman

    dba Hodgeman County Health Dept

    • Public Health or Welfare Agency
    • Jetmore, KS
    • NPI 1902853815

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1093821514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540310",
            "telephone_number": "620-357-8361",
            "fax_number": "620-357-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W BRAMLEY ST",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678549320",
            "telephone_number": "620-357-8361",
            "fax_number": "620-357-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGEMAN COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-357-8361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "HO42001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jetmore, KS

Sources for this page

Verify at the official NPI Registry.