1. Home
  2. Directory
  3. Minnesota
  4. Hendricks
  5. Clinic Center
  6. NPI Profile

HENDRICKS CLINIC
NPI 1013206812
Clinic/Center - Rural Health in Hendricks, MN

Active since April 01, 2011CLIA Certified · 2 labs
501 E LINCOLN ST, HENDRICKS, MN 56136(507) 275-3121(507) 275-3194 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hendricks Clinic NPPES

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

HENDRICKS CLINIC (NPI 1013206812) is a healthcare organization registered as a rural health in Hendricks, Minnesota and active in the NPI registry since April 2011. The organization holds 2 active CLIA laboratory certificates and lists Jeff Gollaher, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013206812
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME
Location Address501 E LINCOLN STHendricks, MN 56136-9598
Mailing Address501 E Lincoln St, Po Box 106Hendricks, MN 56136-9598 · (507) 275-3134 · Fax (507) 275-2242
Phone(507) 275-3121
Fax(507) 275-3194
Organization SubpartYesParent: Hendricks Community Hospital Association
Authorized OfficialJeff GollaherCeo · (507) 275-3134
Enumeration DateApril 1, 2011
Last NPPES UpdateAugust 27, 2012
✔ NPI 1013206812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
501 E LINCOLN ST, Hendricks, MN 56136
Open in Google Maps ↗

Other Names 1

Doing Business AsHendricks Clinic

Other Identifiers 1

Medicare OSCAR/certification243455MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hendricks Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Hendricks Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Kathryn Christensen, NP-C
Nurse Practitioner
NPI 1447709597
501 E LINCOLN ST
Hendricks, MN 56136
(507) 275-3121
✔ PECOS✔ Accepts MedicareSame address
Tabb Mccluskey, D.O.
Family Practice
NPI 1952336828
501 E LINCOLN ST
Hendricks, MN 56136
(507) 275-3121
✔ PECOS✔ Accepts MedicareSame address
Larry Grong, D.O.
Internal Medicine
NPI 1871653758
1282 WALNUT ST
Dawson, MN 56232
(320) 769-7393
✔ PECOS34 mi
Julie Cameron, C.N.P.
Nurse Practitioner
NPI 1902800360
216 W 2ND ST S
Brookings, SD 57006
(605) 692-8684
✔ PECOS✔ Accepts Medicare36 mi
Grant Eyjolfson, MD
Family Practice
NPI 1356655781
1000 SOUTH COLUMBIA ROAD
Grand Forks, ND 58206
(701) 780-5000
✔ PECOS✔ Accepts Medicare237 mi
Tomasz Lis, MD
Family Practice
NPI 1003122151
2233 W DIVISION ST
Chicago, IL 60622
(312) 770-2000
✔ PECOS✔ Accepts Medicare476 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 24D0405220

Hendricks Community Hospital · Hendricks, MN
Active · expires Jan 26, 2027
CLIA Number24D0405220
Laboratory TypeHospital
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorErin E. Quist
Laboratory Phone(507) 275-3134
Laboratory LocationHendricks Community Hospital503 East Lincoln Street, Hendricks, MN 56136
CLIA data matches this NPI record on: 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.

Certificate of Waiver 24D0882177

Hendricks Community Hospital Nursing · Hendricks, MN
Active · expires Jan 30, 2028
CLIA Number24D0882177
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorTabb Mccluskey
Laboratory Phone(507) 275-3134
Laboratory LocationHendricks Community Hospital Nursing503 East Lincoln Street, Hendricks, MN 56136
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hendricks Community Hospital Assn & Retirement Home's NPI number?

The NPI number for Hendricks Community Hospital Assn & Retirement Home is 1013206812. It was assigned to this organization in the NPPES registry on April 1, 2011. The provider is doing business as Hendricks Clinic.

Where is Hendricks Community Hospital Assn & Retirement Home located?

Hendricks Community Hospital Assn & Retirement Home is located at 501 E Lincoln St, Hendricks, MN 56136. The listed phone number is (507) 275-3121.

What is Hendricks Community Hospital Assn & Retirement Home's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Hendricks Community Hospital Assn & Retirement Home enrolled in Medicare?

Yes. Hendricks Community Hospital Assn & Retirement Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hendricks Community Hospital Assn & Retirement Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Hendricks Community Hospital Assn & Retirement Home. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (2) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hendricks Community Hospital Assn & Retirement Home hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hendricks Community Hospital Assn & Retirement Home accept?

Health plans from Sanford Health Plan list Hendricks Community Hospital Assn & Retirement Home 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 Hendricks Community Hospital Assn & Retirement Home was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.