FORT CALHOUN CLINIC
NPI 1417015207
Clinic/Center - Rural Health in Fort Calhoun, NE

Active since December 05, 2006CLIA 28D0910916 · Microscopy
4929 COUNTY ROAD P43, FORT CALHOUN, NE 68023(402) 468-4655(402) 468-4633 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1417015207
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL COMMUNITY HOSPITAL CORPORATION
Location Address4929 COUNTY ROAD P43Fort Calhoun, NE 68023-5066
Mailing Address4929 County Road P43Fort Calhoun, NE 68023-5066 · (402) 468-4655 · Fax (402) 468-4633
Fax(402) 468-4633
Organization SubpartYes
Authorized OfficialAmy ZimmerCne/vp Patient Care Services · (402) 426-2182
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
NPI 1417015207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 79001 (NE)
4929 COUNTY ROAD P43, Fort Calhoun, NE 68023

Other Names 1

Doing Business AsFort Calhoun Clinic

Other Identifiers 1

Other07683NE · Blue Cross Blue Shield

Accepted 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 for Provider-Performed Microscopy Procedures (PPMP) 28D0910916

Fort Calhoun Clinic · Fort Calhoun, NE
Active · expires Jul 2, 2028
CLIA Number28D0910916
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorDr. Kevin Sisk
Laboratory Phone(402) 374-1585
Laboratory LocationFort Calhoun Clinic4929 County Road P43, Fort Calhoun, NE 68023
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
4929 COUNTY ROAD P43, FORT CALHOUN CLINIC
FORT CALHOUN, NE 68023

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 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.

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 Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer 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 2 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.