CLAY CITY CENTER FOR FAMILY MEDICINE
NPI 1235120882
Clinic/Center - Rural Health in Clay City, IN

Active since November 02, 2005CLIA 15D0868139 · Waiver
315 LANKFORD ST, CLAY CITY, IN 47841(812) 939-2126 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2023, Feb 24, 2023 (2 updates tracked since 2023).

About Clay City Center For Family Medicine NPPES

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

CLAY CITY CENTER FOR FAMILY MEDICINE (NPI 1235120882) is a healthcare organization registered as a rural health in Clay City, Indiana and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Steve Holman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235120882
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameUNION HOSPITAL INC.
Location Address315 LANKFORD STClay City, IN 47841-1008
Mailing AddressPo Box 2505Indianapolis, IN 46206-2505 · (812) 238-7783
Organization SubpartNo
Authorized OfficialSteve HolmanCeo · (812) 238-7606
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1235120882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
315 LANKFORD ST, Clay City, IN 47841

Other Names 1

Doing Business AsClay City Center For Family Medicine

Other Identifiers 1

Medicaid100079350IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clay City Center For Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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
StateIndianaEnrollment IDO20070626000727Part A · Rural Health ClinicDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

120

Medicare enrollment records show 120 clinicians reassign Medicare billing to Clay City Center For Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner33
Family Practice26
Obstetrics/Gynecology11
Internal Medicine8
Neurology8
Neurosurgery5
Psychiatry5
Cardiovascular Disease (Cardiology)4
11 other specialties20

Nearest to this location (20)

See all 120
Nurse Practitioner
NPI 1730665597
315 LANKFORD ST
Clay City, IN 47841
(812) 939-2126
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508857764
315 LANKFORD ST
Clay City, IN 47841
(812) 939-2126
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780842393
315 LANKFORD ST
Clay City, IN 47841
(812) 939-2126
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023014479
7500 STATE ROAD 46
Riley, IN 47871
(812) 894-2304
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1154097509
7500 STATE ROAD 46 E
Riley, IN 47871
(812) 894-2304
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1891211330
115 MURPHY AVE SUITE A
Brazil, IN 47834
(812) 442-2100
✔ PECOS✔ Accepts Medicare17 mi
Clinical Social Worker
NPI 1568253672
2609 EISENHOWER LN
Terre Haute, IN 47803
(812) 249-5833
✔ PECOS✔ Accepts Medicare17 mi
Obstetrics/Gynecology
NPI 1558335893
611 E SPRINGHILL DR
Terre Haute, IN 47802
(812) 478-9845
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1609450907
3901 S 7TH ST
Terre Haute, IN 47802
(812) 232-0021
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1073503207
3903 S 7TH ST STE 2E
Terre Haute, IN 47802
(812) 235-7370
✔ PECOS✔ Accepts Medicare19 mi
Hospitalist
NPI 1134375157
2723 S 7TH STREET STE L
Terre Haute, IN 47802
(812) 232-5936
✔ PECOS✔ Accepts Medicare19 mi
Hematology/Oncology
NPI 1851697536
2723 S 7TH ST STE O
Terre Haute, IN 47802
(812) 232-1418
✔ PECOS✔ Accepts Medicare19 mi
Cardiac Surgery
NPI 1184657645
1530 N 7TH ST STE 107
Terre Haute, IN 47807
(812) 238-7892
✔ PECOS✔ Accepts Medicare21 mi
Thoracic Surgery
NPI 1427125426
1530 N 7TH ST SUITE 102
Terre Haute, IN 47807
(812) 238-7892
✔ PECOS✔ Accepts Medicare21 mi
Interventional Cardiology
NPI 1154826600
1429 N 6TH ST
Terre Haute, IN 47807
(502) 852-5666
✔ PECOS✔ Accepts Medicare21 mi
Cardiovascular Disease (Cardiology)
NPI 1942319934
1429 N 6TH ST
Terre Haute, IN 47807
(812) 242-3175
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1518305689
1606 N 7TH ST
Terre Haute, IN 47804
(812) 238-7523
✔ PECOS✔ Accepts Medicare21 mi
Clinical Psychologist
NPI 1598725681
1606 N 7TH ST
Terre Haute, IN 47804
(812) 238-7384
✔ PECOS✔ Accepts Medicare21 mi
Physical Medicine and Rehabilitation
NPI 1528124799
1606 N 7TH ST
Terre Haute, IN 47804
(812) 238-7000
✔ PECOS✔ Accepts Medicare21 mi
Neurology
NPI 1225760945
1739 N 4TH ST
Terre Haute, IN 47804
(812) 242-3664
✔ PECOS✔ Accepts Medicare22 mi
See all 120 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 15D0868139

Clay City Center For Family Medicine · Clay City, IN
Active · expires Aug 10, 2027
CLIA Number15D0868139
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorNancy Breitweiser
Laboratory Phone(812) 939-2126
Laboratory LocationClay City Center For Family Medicine315 Lankford St, Clay City, IN 47841
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Union Hospital Inc.'s NPI number?

The NPI number for Union Hospital Inc. is 1235120882. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Clay City Center For Family Medicine.

Where is Union Hospital Inc. located?

Union Hospital Inc. is located at 315 Lankford St, Clay City, IN 47841. The listed phone number is (812) 939-2126.

What is Union Hospital Inc.'s specialty?

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

Is Union Hospital Inc. enrolled in Medicare?

Yes. Union Hospital Inc. is registered in the Medicare PECOS enrollment system.

When is Union Hospital Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Indiana, Rural Health Clinic) is due for revalidation by March 31, 2027. 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.

How many clinicians bill Medicare through Union Hospital Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 120 clinicians in 19 Medicare specialties reassign their Medicare billing to Union Hospital Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Family Practice (26) and Obstetrics/Gynecology (11). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Union Hospital Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0868139) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Union Hospital Inc. accept?

Health plans from CareSource list Union Hospital Inc. 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 Union Hospital Inc. was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.