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

Active since June 13, 2006CLIA 28D0456140 · Waiver
121 15TH AVE, FRANKLIN, NE 68939(308) 425-6221(308) 425-3164 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fcmh Pool Medical Clinic NPPES

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

FCMH POOL MEDICAL CLINIC (NPI 1164465829) is a healthcare organization registered as a rural health in Franklin, Nebraska and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Theresa Rizzo, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1164465829
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFRANKLIN COUNTY MEMORIAL HOSPITAL
Location Address121 15TH AVEFranklin, NE 68939-1043
Mailing Address1406 Q StFranklin, NE 68939-1073 · (308) 425-6221 · Fax (308) 425-3164
Phone(308) 425-6221
Fax(308) 425-3164
Organization SubpartYes
Authorized OfficialTheresa RizzoAdministrator/ceo · (308) 425-6221
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 17, 2019
✔ NPI 1164465829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
121 15TH AVE, Franklin, NE 68939
Open in Google Maps ↗

Other Names 1

Doing Business AsFcmh Pool Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNebraskaEnrollment IDO20050812000854Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 28D0456140

Fcmh Pool Medical Clinic · Franklin, NE
Active · expires Aug 31, 2028
CLIA Number28D0456140
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorRoger V. Dietz
Laboratory Phone(308) 425-6701
Laboratory LocationFcmh Pool Medical Clinic121 15th Avenue, Franklin, NE 68939
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 4

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

DR. DANIEL E. MAZOUR M.D.
Family Medicine
121 15TH AVE
FRANKLIN, NE 68939
Franklin County (308) 425-6249
MR. RONALD L. HAWLEY P.A.
Physician Assistant (Medical)
121 15TH AVE
FRANKLIN, NE 68939
Franklin County (308) 425-6221
KATHY L. MURPHY BUSCHKOETTER A.P.R.N.
Nurse Practitioner (Family)
121 15TH AVE
FRANKLIN, NE 68939
Franklin County (308) 425-6221
DR. LINDA S MAZOUR M.D.
Family Medicine
121 15TH AVE
FRANKLIN, NE 68939
Franklin County (308) 425-6249

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 Franklin County Memorial Hospital's NPI number?

The NPI number for Franklin County Memorial Hospital is 1164465829. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Fcmh Pool Medical Clinic.

Where is Franklin County Memorial Hospital located?

Franklin County Memorial Hospital is located at 121 15th Ave, Franklin, NE 68939. The listed phone number is (308) 425-6221.

What is Franklin County Memorial Hospital's specialty?

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

Is Franklin County Memorial Hospital enrolled in Medicare?

Yes. Franklin County Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Franklin County Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Nebraska, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Franklin County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0456140) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Franklin County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Sunflower Health Plan list Franklin County Memorial Hospital 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 Franklin County Memorial Hospital was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.