KHS POTTER CLINIC
NPI 1255761631
Clinic/Center - Rural Health in Potter, NE

NPI Status: Active since November 20, 2013

Contact Information

922 1/2 SHERMAN STREET
POTTER, NE
ZIP 69156
Phone: (308) 879-0155
Fax: (308) 235-2403

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 53D2121114
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 10-30-2026

About KHS POTTER CLINIC

This page provides the complete NPI Profile along with additional information for Khs Potter Clinic, a primary care provider established in Potter, Nebraska operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1255761631 assigned on November 2013. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Khs Potter Clinic. The authorized official of this NPI record is Kenneth Herbert Hunter (Ceo)

NPI
1255761631
Provider Legal Name
KIMBALL COUNTY HOSPITAL
Other Organization Name
KHS POTTER CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
922 1/2 SHERMAN STREET POTTER, NE 69156
Location Phone
(308) 879-0155
Location Fax
(308) 235-2403
Mailing Address
505 S BURG ST KIMBALL, NE 69145
Mailing Phone
(308) 235-1951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2013
Last Update Date
04-27-2019
Code Navigator

A primary care provider (PCP) like Khs Potter 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 .

Location Map

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

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

KENNETH HERBERT HUNTER

Authorized Official Title
CEO
Authorized Official Phone
(308) 235-1951

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
53D2121114
Facility Type
Rural Health Clinic
Certificate Effective Date
October 31, 2024
Certificate Expiration Date
October 30, 2026
Laboratory Director
JENNIFER L. GREENWOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Khs Potter 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255761631, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 4 + 6 + 2 + 6 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1255761631.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255761631, enumerated as an "organization" on November 20, 2013.

The provider is located at 922 1/2 SHERMAN STREET POTTER, NE 69156 and the phone number is (308) 879-0155.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.