NPIMap

Organization Active NPI

Hodgeman County Medical Services

  • Physician Assistant
  • Jetmore, KS
National Provider Identifier
1831471473
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
05-18985 Issued in KS
Legal business name
HODGEMAN COUNTY MEDICAL SERVICES
Practice address
810 W Bramley St
Jetmore, KS 67854-9320
Phone
(620) 357-8354
NPI assigned
Sep 9, 2011
Last updated
Sep 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Chris A Sandoval
Title
Practice Manager
Phone
(620) 408-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 05-18985 KS Primary

Addresses

Primary practice location

810 W Bramley St
Jetmore, KS 67854-9320

Mailing address

2200 Summerlon Cir
Suite a
Dodge City, KS 67801-2900
Phone (620) 408-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1831471473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIR",
            "address_2": "SUITE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012900",
            "telephone_number": "620-408-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W BRAMLEY ST",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678549320",
            "telephone_number": "620-357-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGEMAN COUNTY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "620-408-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "05-18985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jetmore, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.