| O;shea Memorial Clinic | |
|
810 W Bramley St Jetmore KS 67854-9320 | |
| (620) 357-8354 | |
| (620) 357-6460 |
| Full Name | O;shea Memorial Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 W Bramley St, Jetmore, Kansas |
| Authorized Official Name and Position | Stacey Briggs (CFO) |
| Authorized Official Contact | 6203578361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O;shea Memorial Clinic Po Box 310 Jetmore KS 67854-0310 Ph: (620) 357-8354 | O;shea Memorial Clinic 810 W Bramley St Jetmore KS 67854-9320 Ph: (620) 357-8354 |
| NPI Number | 1790777324 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 5799696894 |
|---|---|
| Medicare Enrollment ID | O20030922000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790777324 | NPI | - | NPPES |
| 100291010A | Medicaid | KS | |
| 014014 | Other | KS | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (NU) | Secondary |
Wildfire Chiropractic, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 N Main St, Jetmore, KS 67854 Phone: 620-393-0190 |
Unified School District 227 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Douglas St, Jetmore, KS 67854 Phone: 620-357-8301 |