RANCHERO CLINIC, LLC
NPI 1093606519
Clinic/Center - Rural Health in Charleston, IL

Active since July 12, 2025CLIA 14D2329601 · Waiver
825 18TH ST STE 238, CHARLESTON, IL 61920(447) 219-1594(408) 715-5734 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ranchero Clinic, Llc NPPES

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

RANCHERO CLINIC, LLC (NPI 1093606519), doing business as Ranchero Clinic, is a healthcare organization registered as a rural health in Charleston, Illinois and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Bernie C Ranchero, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1093606519
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRANCHERO CLINIC, LLC
Location Address825 18TH ST STE 238Charleston, IL 61920-2940
Mailing Address825 18th St Ste 238Charleston, IL 61920-2940 · (447) 219-1163 · Fax (408) 715-5734
Fax(408) 715-5734
Organization SubpartNo
Authorized OfficialBernie C RancheroOwner-president · (447) 219-1163
Enumeration DateJuly 12, 2025
NPPES CertifiedJuly 12, 2025
NPI 1093606519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
825 18TH ST STE 238, Charleston, IL 61920

Other Names 1

Doing Business AsRanchero Clinic

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 Waiver 14D2329601

Ranchero Clinic · Charleston, IL
Active · expires Sep 1, 2027
CLIA Number14D2329601
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorBernie C. Ranchero
Laboratory Phone(217) 500-5484
Laboratory LocationRanchero Clinic825 18th St - Ste 238, Charleston, IL 61920
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center
825 18TH ST STE 238
CHARLESTON, IL 61920
Family Medicine
825 18TH ST STE 238
CHARLESTON, IL 61920

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 Ranchero Clinic, LLC's NPI number?

The NPI number for Ranchero Clinic, LLC is 1093606519. It was assigned to this organization in the NPPES registry on July 12, 2025. The provider is doing business as Ranchero Clinic.

Where is Ranchero Clinic, LLC located?

Ranchero Clinic, LLC is located at 825 18th St Ste 238, Charleston, IL 61920. The listed phone number is (447) 219-1594.

What is Ranchero Clinic, LLC's specialty?

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

Does Ranchero Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2329601) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ranchero Clinic, LLC was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.