NPIMap

Organization Active NPI

Osborne County Memorial Hospital

  • Rural Health Clinic/Center
  • Osborne, KS
National Provider Identifier
1437240595
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OSBORNE COUNTY MEMORIAL HOSPITAL
Doing business as
Goad Medical Clinic
Practice address
237 W Harrison St
Osborne, KS 67473-1500
Phone
(785) 346-2510
Fax
(785) 345-4163
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Linda S Murphy
Title
Office Manager
Phone
(785) 346-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X KS Primary

Addresses

Primary practice location

237 W Harrison St
Osborne, KS 67473-1500

Mailing address

PO Box 70
Osborne, KS 67473-0070
Phone (785) 346-2510

Other identifiers 1

IdentifierTypeStateIssuer
110866OtherBLUE SHIELD/MED PART B

Other names 1

  • Goad Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050429000933 KS Part B Supplier - Clinic/Group Practice 7517877848 Receives reassigned benefits from 8 practitioners
Practice locations: Osborne, KS
O20101105000527 KS Part A Provider - Rural Health Clinic 7517877848 Practice locations: Osborne, KS

Rural health clinic certification: CCN 178569

Legal name
OSBORNE COUNTY MEMORIAL HOSPITAL
Doing business as
GOAD MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 1, 2012
Last certification
Jun 1, 2012
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
237 W Harrison St
Osborne, KS 67473-1500
Related CCNs
171364

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0951830Goad Medical Clinic237 W Harrison St PO Box 70, Osborne, KS 67473Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Locations

431 W New Hampshire St
Osborne, KS 67473
Phone (785) 346-2510

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Linda Murphy Individual W-2 Managing Employee Apr 8, 2010
Operational/Managerial ControlCfo Apr 8, 2010 100%
Raymond Troy Schaefer Individual Corporate DirectorCounty Commissioner Jan 1, 2023 100%
Osborne County Memorial Hospital Organization, Osborne, KS Other Jul 1, 1994 100%
Doris a Brown Individual W-2 Managing EmployeeCeo Nov 1, 2022 100%
Janel R Burch Individual Corporate OfficerChairman Jan 1, 2023 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437240595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674730070",
            "telephone_number": "785-346-2510",
            "fax_number": "785-345-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W HARRISON ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674731500",
            "telephone_number": "785-346-2510",
            "fax_number": "785-345-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-346-2121"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/MED PART B",
            "identifier": "110866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goad Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goad Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osborne, KS

Sources for this page

Verify at the official NPI Registry.