NPIMap

Organization Active NPI

Hodgeman County Health Center

  • Critical Access Hospital
  • Jetmore, KS
National Provider Identifier
1821098252
Registry record updated Jul 22, 2009
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 Street
# 310
Jetmore, KS 67854-9320
Phone
(620) 357-8361
Fax
(620) 357-6120
NPI assigned
Jul 28, 2005
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

809 W. Bramley Street
# 310
Jetmore, KS 67854-9320

Mailing address

809 W Bramley St
P.O. Box 310
Jetmore, KS 67854-9320
Phone (620) 357-8361

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030922000040 KS Part A Provider - Critical Access Hospital 5799696894 Receives reassigned benefits from 17 practitioners
Practice locations: Jetmore, KS
O20041012000779 KS Part B Supplier - Clinic/Group Practice 5799696894 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
Practice locations: Jetmore, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821098252. Details of each certification follow.

Hospital certification: CCN 171369

Legal name
HODGEMAN COUNTY HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 1, 2004
Last certification
Mar 28, 2016
Beds
16
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
809 W Bramley St
Jetmore, KS 67854-9320
Other Hospital Practice Location
Hospital subgroups
Acute care, Long-term, Swing-bed approved

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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hodgeman County Health CenterCCN 171369 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

809 W Bramley St
#310
Jetmore, KS 67854
Phone (620) 357-8361

Ownership & related parties

All disclosed owners & managing parties 4

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 Employee Dec 1, 2021
Lonnie Ruff Individual Corporate DirectorChairman of the Board Jan 1, 2022
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 22

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 22

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1821098252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W BRAMLEY ST",
            "address_2": "P.O. BOX 310",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678549320",
            "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 STREET",
            "address_2": "# 310",
            "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": "2005-07-28",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER (CFO)",
        "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.