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WEST HOLT MEDICAL CLINIC
NPI 1366492472
General Practice in Atkinson, NE

Active since May 11, 2006CLIA 28D0455566 · Waiver
405 W PEARL ST, ATKINSON, NE 68713(402) 925-2631(402) 925-2914 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Holt Medical Clinic NPPES

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

WEST HOLT MEDICAL CLINIC (NPI 1366492472) is a healthcare organization registered as a general practice in Atkinson, Nebraska and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jeremy Bauer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366492472
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWEST HOLT MEMORIAL HOSPITAL
Location Address405 W PEARL STAtkinson, NE 68713-4882
Mailing AddressPo Box 458Atkinson, NE 68713-0458 · (402) 925-2631 · Fax (402) 925-2914
Phone(402) 925-2631
Fax(402) 925-2914
Organization SubpartNo
Authorized OfficialJeremy BauerCfo · (402) 925-1947
Enumeration DateMay 11, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1366492472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
405 W PEARL ST, Atkinson, NE 68713
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Holt Medical Clinic

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Waiver 28D0455566

West Holt Medical Clinic · Atkinson, NE
Active · expires Jul 16, 2027
CLIA Number28D0455566
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorBecky J. Frerichs
Laboratory Phone(402) 925-2811
Laboratory LocationWest Holt Medical Clinic405 West Pearl, Atkinson, NE 68713
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 5

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

DR. KATHLEEN ANDERSON BLIESE MD
Family Medicine
405 W PEARL ST, BOX 458
ATKINSON, NE 68713
Holt County (402) 925-2631
DR. ROBERT A RANDALL M.D.
Family Medicine
405 W PEARL ST, CLINIC
ATKINSON, NE 68713
Holt County (402) 925-2811
SYLVIA J APPLEBEE
Nutritionist
405 W PEARL ST
ATKINSON, NE 68713
Holt County (402) 925-2811
APRIL J DEXTER APRN/NP-C
Nurse Practitioner (Family)
405 W PEARL ST
ATKINSON, NE 68713
Holt County (402) 925-2631
LORETTA K DANIELS PA
Physician Assistant (Medical)
405 W PEARL ST
ATKINSON, NE 68713
Holt County (402) 925-2631

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 West Holt Memorial Hospital's NPI number?

The NPI number for West Holt Memorial Hospital is 1366492472. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as West Holt Medical Clinic.

Where is West Holt Memorial Hospital located?

West Holt Memorial Hospital is located at 405 W Pearl St, Atkinson, NE 68713. The listed phone number is (402) 925-2631.

What is West Holt Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does West Holt Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0455566) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Holt Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list West Holt 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 West Holt Memorial Hospital was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.