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CAH171369-02 HODGEMAN COUNTY HEALTH CENTER (Active)
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Main Details
Name
HODGEMAN COUNTY HEALTH CENTER
Subdivision Name
HODGEMAN COUNTY HEALTH CENTER - Rural Health Clinic O'Shea Memorial Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171369-02
Medicare Provider Number
171369
Outpatient Facility Provider Number
173992
Additional Details
Current Program Status
Active
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/25/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Hodgeman County Health Center
Rance Ramsey, CEO
(620) 357-8361 Ext: 3350
Primary Contact
Hodgeman County Health Center
Stacey Briggs, CFO
(620) 357-8361 Ext: 2222
Addresses
Street Address
810 W BRAMLEY ST
JETMORE, KS 67854-9320
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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