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

Active since April 01, 2011CLIA Certified · 4 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: August 09, 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 4 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
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

Other Names 1

Doing Business AsHendricks Clinic

Other Identifiers 1

Medicare OSCAR/certification243455MN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 for Provider-Performed Microscopy Procedures (PPMP) 24D0405219

Hendricks Community Hospital Assn Dba Hendricks Clinic · Hendricks, MN
Active · expires Aug 31, 2026
CLIA Number24D0405219
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTabb Mccluskey Do
Laboratory Phone(507) 275-3121
Laboratory LocationHendricks Community Hospital Assn Dba Hendricks Clinic501 East Lincoln Street PO Box 106, Hendricks, MN 56136
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 E 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 24D0859713

Hendricks Community Hospital Assn & Retirement Home And Good Shepherd Hospice · Hendricks, MN
Active · expires Aug 31, 2026
CLIA Number24D0859713
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTabb Mccluskey
Laboratory Phone(507) 275-3134
Laboratory LocationHendricks Community Hospital Assn & Retirement Home And Good Shepherd Hospice503 East Lincoln Street, Hendricks, MN 56136
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
501 E LINCOLN ST
HENDRICKS, MN 56136
Nurse Practitioner (Family)
501 E LINCOLN ST
HENDRICKS, MN 56136
Nurse Practitioner (Family)
501 E LINCOLN ST
HENDRICKS, MN 56136
Family Medicine
501 E LINCOLN ST
HENDRICKS, MN 56136

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.

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

Yes. 4 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 Medica and 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 13 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.