MEDICAL CLINIC LLC
NPI 1124218706
Family Medicine in Hamburg, IA

Q: What is Medical Clinic LLC's NPI number?

The NPI number for Medical Clinic LLC is 1124218706. It was assigned to this organization in the NPPES registry on July 30, 2007. The provider was formerly known as Medical Clinic P.C..

Q: What is Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 30, 2007CLIA 16D0385985 · Accreditation

1219 MAIN ST, HAMBURG, IA 51640(712) 382-2626 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Jul 23, 2024 (2 updates tracked since 2024).

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About Medical Clinic Llc NPPES

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

MEDICAL CLINIC LLC (NPI 1124218706), doing business as Medical Clinic P.c., is a healthcare organization registered as a family medicine in Hamburg, Iowa and active in the NPI registry since July 2007. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Cristin A Hendrickson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124218706

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEDICAL CLINIC LLC

Location Address1219 MAIN STHamburg, IA 51640-1300

Mailing Address1219 Main StHamburg, IA 51640-1300 · (712) 382-2626

Phone(712) 382-2626

Organization SubpartNo

Authorized OfficialCristin A HendricksonCeo · (712) 382-1515

Enumeration DateJuly 30, 2007

Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1124218706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1219 MAIN ST, Hamburg, IA 51640

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Other Names 1

Former Legal Business NameMedical Clinic P.c.

Other Identifiers 1

Medicaid0018507IA

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Accreditation 16D0385985

Medical Clinic, LLC · Hamburg, IA

Active · expires Jun 23, 2028

CLIA Number16D0385985

Laboratory TypeRural Health Clinic

Certificate Effective DateJune 24, 2026

Certificate Expiration DateJune 23, 2028

Laboratory DirectorKelli Woltemath

Laboratory Phone(712) 382-2626

Laboratory LocationMedical Clinic, LLC1219 Main Street, Hamburg, IA 51640

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

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

TARA R GOODMAN ARNP

Nurse Practitioner (Pediatrics)