NPIMap

Organization Active NPI

County of Hodgeman

Doing business as Hodgeman County Health Dept

  • Public Health or Welfare Agency
  • Jetmore, KS
National Provider Identifier
1902853815
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF HODGEMAN
Doing business as
Hodgeman County Health Dept
Practice address
500 Main St
Jetmore, KS 67854-0086
Phone
(620) 357-8736
NPI assigned
May 27, 2006
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Karen Haug, RN,BSN
Title
Administrator
Phone
(620) 357-8736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

500 Main St
Jetmore, KS 67854-0086

Mailing address

500 Main St
PO Box 86
Jetmore, KS 67854-0086
Phone (620) 357-8736

Other identifiers 3

IdentifierTypeStateIssuer
12801OtherKSBLUE CROSS/BLUE SHIELD
7830OtherKSAHA
100114000AMedicaidKS

Other names 1

  • Hodgeman County Health Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130730000184 KS Part B Supplier - Mass Immunization (Roster Biller Only) 6608787700 Practice locations: Jetmore, KS

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hanston Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hodgeman County Health CenterJetmore, KS, CCN 171369 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 12, 1970
Hodgeman County Health CenterJetmore, KS, CCN 17Z369 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 12, 1970
O'Shea Memorial ClinicJetmore, KS, CCN 173992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 12, 1970

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1902853815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "address_2": "PO BOX 86",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540086",
            "telephone_number": "620-357-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540086",
            "telephone_number": "620-357-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HODGEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "HAUG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-357-8736",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "12801",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHA",
            "identifier": "7830",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114000A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hodgeman County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jetmore, KS

Sources for this page

Verify at the official NPI Registry.