FORT CALHOUN CLINIC
NPI 1417015207
Clinic/Center - Rural Health in Fort Calhoun, NE
About Fort Calhoun Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT CALHOUN CLINIC (NPI 1417015207) is a healthcare organization registered as a rural health in Fort Calhoun, Nebraska and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 2, 2028 and lists Amy Zimmer, Cne/vp Patient Care Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Calhoun Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
69Medicare enrollment records show 69 clinicians reassign Medicare billing to Fort Calhoun Clinic, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 69Omaha, NE 68198
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 for Provider-Performed Microscopy Procedures (PPMP) 28D0910916
Fort Calhoun Clinic · Fort Calhoun, NEFrequently 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 Memorial Community Hospital Corporation's NPI number?
The NPI number for Memorial Community Hospital Corporation is 1417015207. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Fort Calhoun Clinic.
Where is Memorial Community Hospital Corporation located?
Memorial Community Hospital Corporation is located at 4929 County Road P43, Fort Calhoun, NE 68023. The listed phone number is (402) 468-4655.
What is Memorial Community Hospital Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Memorial Community Hospital Corporation enrolled in Medicare?
Yes. Memorial Community Hospital Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Community Hospital Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 23 Medicare specialties reassign their Medicare billing to Memorial Community Hospital Corporation. 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 Certified Registered Nurse Anesthetist (CRNA) (11), Orthopedic Surgery (11) and Family Practice (9). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Community Hospital Corporation hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 28D0910916) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Memorial Community Hospital Corporation accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Memorial Community Hospital Corporation 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 Memorial Community Hospital Corporation was last updated on October 4, 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.
# Fort Calhoun Clinic · NPI 1417015207
Rural Health organization in Fort Calhoun, Nebraska. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1417015207 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Memorial Community Hospital Corporation
- **Organization subpart:** Yes (part of Memorial Community Hospital Corporation)
- **Authorized official:** Amy Zimmer, CNE/VP PATIENT CARE SERVICES
## Practice location
- **Address:** 4929 COUNTY ROAD P43, Fort Calhoun, NE 68023-5066
- **Phone:** (402) 468-4655 · **Fax:** (402) 468-4633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 69 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (11), Orthopedic Surgery (11), Family Practice (9); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1417015207/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2023
- **Other identifiers:** Other 07683 (NE)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417015207) · Data from the CMS NPPES public registry.