FCMH POOL MEDICAL CLINIC
NPI 1164465829
Clinic/Center - Rural Health in Franklin, NE

NPI Status: Active since June 13, 2006

Contact Information

121 15TH AVE
FRANKLIN, NE
ZIP 68939
Phone: (308) 425-6221
Fax: (308) 425-3164

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 28D0456140
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 08-31-2024

About FCMH POOL MEDICAL CLINIC

Fcmh Pool Medical Clinic is a primary care provider established in Franklin, Nebraska operating as a Clinic/center with a focus in rural health . The healthcare provider is registered in the NPI registry with number 1164465829 assigned on June 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fcmh Pool Medical Clinic. The authorized official of this NPI record is Ms. Theresa Rizzo (Administrator/ceo)

NPI
1164465829
Provider Legal Name
FRANKLIN COUNTY MEMORIAL HOSPITAL
Other Organization Name
FCMH POOL MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
121 15TH AVE FRANKLIN, NE 68939
Location Phone
(308) 425-6221
Location Fax
(308) 425-3164
Mailing Address
1406 Q ST FRANKLIN, NE 68939
Mailing Phone
(308) 425-6221
Mailing Fax
(308) 425-3164
Is Sole Proprietor?
N/A
Is Organization Subpart?
Yes
Enumeration Date
06-13-2006
Last Update Date
06-17-2019
Code Navigator

A primary care provider (PCP) like Fcmh Pool Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
    • Complete Silver - HMO
    • Complete Silver + Vision + Adult Dental - HMO
    • Elite Bronze - HMO
    • Elite Bronze + Vision + Adult Dental - HMO
    • Elite Gold - HMO
    • Elite Gold + Vision + Adult Dental - HMO
    • Everyday Bronze - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Gold - EPO
    • Elite Gold + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Gold - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Gold - EPO
    • Everyday Gold + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
    • Focused Silver - EPO
  • Medica

    • Medica Insure Bronze Copay - EPO
    • Medica Insure Bronze Copay $0 PCP - EPO
    • Medica Insure Bronze Copay $0 PCP Office Visits - EPO
    • Medica Insure Bronze Premier - EPO
    • Medica Insure Bronze Share Plus - EPO
    • Medica Insure Bronze Standard - EPO
    • Medica Insure Expanded Bronze Standard - EPO
    • Medica Insure Gold Copay $0 PCP - EPO
    • Medica Insure Gold Copay $0 PCP Office Visits - EPO
    • Medica Insure Gold Share - EPO
    • Medica Insure Gold Standard - EPO
    • Medica Insure Silver Copay $0 PCP - EPO
    • Medica Insure Silver Copay $0 PCP Office Visits - EPO
    • Medica Insure Silver Enhanced - EPO
    • Medica Insure Silver Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. THERESA RIZZO

Authorized Official Title
ADMINISTRATOR/CEO
Authorized Official Phone
(308) 425-6221

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D0456140
Facility Type
Physician Office
Certificate Effective Date
September 01, 2022
Certificate Expiration Date
August 31, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fcmh Pool Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FCMH POOL MEDICAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164465829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124861084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 6 + 1 + 0 + 8 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1164465829 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790788198DR. LINDA S MAZOUR M.D.
Individual
Family Medicine121 15TH AVE
FRANKLIN, NE 68939
(308) 425-6249
1447253844DR. DANIEL E. MAZOUR M.D.
Individual
Family Medicine121 15TH AVE
FRANKLIN, NE 68939
(308) 425-6249
1639126386MR. RONALD L. HAWLEY P.A.
Individual
Physician Assistant (Medical)121 15TH AVE
FRANKLIN, NE 68939
(308) 425-6221
1689614232 KATHY L. MURPHY BUSCHKOETTER A.P.R.N.
Individual
Nurse Practitioner (Family)121 15TH AVE
FRANKLIN, NE 68939
(308) 425-6221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164465829, enumerated in the NPI registry as an "organization" on June 13, 2006

The provider is located at 121 15th Ave Franklin, Ne 68939 and the phone number is (308) 425-6221

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 28D0456140 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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