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BLOOMFIELD MEDICAL CLINIC, PC
NPI 1003091497
Physician Assistant - Medical in Bloomfield, NE

Active since January 03, 2008CLIA 28D0455576 · Certificate of Compliance
105 S BROADWAY AVENUE, BLOOMFIELD, NE 68718(402) 373-4341(402) 373-4344 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomfield Medical Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMFIELD MEDICAL CLINIC, PC (NPI 1003091497) is a healthcare organization registered as a medical in Bloomfield, Nebraska and active in the NPI registry since January 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 18, 2026 and lists Kevin D Lauck, President, as its authorized official.

NPPES Registry Identity

NPI1003091497
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameBLOOMFIELD MEDICAL CLINIC, PC
Location Address105 S BROADWAY AVENUEBloomfield, NE 68718-0357
Mailing Address105 S Broadway Avenue, P O Box 357Bloomfield, NE 68718-0357 · (402) 373-4341 · Fax (402) 373-4344
Phone(402) 373-4341
Fax(402) 373-4344
Organization SubpartNo
Authorized OfficialKevin D LauckPresident · (402) 373-4341
Enumeration DateJanuary 3, 2008
Last NPPES UpdateMarch 29, 2010
✔ NPI 1003091497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NE · 1040
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 110153 (NE)
105 S BROADWAY AVENUE, Bloomfield, NE 68718
Open in Google Maps ↗

Other Identifiers 5

Medicare PINDO0210NE
Medicare UPINS27626NE
Medicare UPINQ14026NE
Medicare PINNA1045NE
Medicaid10025588500NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 28D0455576

Bloomfield Medical Clinic PC · Bloomfield, NE
Active · expires Aug 18, 2026
CLIA Number28D0455576
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorDr. Riley G. Eckmann
Laboratory Phone(402) 373-4341
Laboratory LocationBloomfield Medical Clinic PC105 South Broadway, Bloomfield, NE 68718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Bloomfield Pharmacy carries, from the Medicare DMEPOS supplier directory.

Bloomfield Pharmacy

DMEPOS supplier · Bloomfield, NEOperated by Nagengast Pharmacies Inc
✔

Accepts Medicare assignment

Bloomfield Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20628269
Medicare Participant SinceMay 1, 2000
Supplier Location105 S Broadway St Ste 1Bloomfield, NE 68718
Phone(402) 373-4411
Supplier Specialties
Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Seat Lift Mechanisms
Lift chair
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomfield Medical Clinic, PC's NPI number?

The NPI number for Bloomfield Medical Clinic, PC is 1003091497. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Bloomfield Medical Clinic, PC located?

Bloomfield Medical Clinic, PC is located at 105 S Broadway Avenue, Bloomfield, NE 68718. The listed phone number is (402) 373-4341.

What is Bloomfield Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Bloomfield Medical Clinic, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bloomfield Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Bloomfield Medical Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 28D0455576) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloomfield Medical Clinic, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Bloomfield Medical Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloomfield Medical Clinic, PC was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.