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CHADRON MEDICAL CLINIC PC
NPI 1417167370
General Practice in Chadron, NE

Active since May 22, 2007CLIA Certified · 2 labs
825 CENTENNIAL DR, CHADRON, NE 69337(308) 432-4441(308) 432-4446 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chadron Medical Clinic Pc NPPES

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

CHADRON MEDICAL CLINIC PC (NPI 1417167370) is a healthcare organization registered as a general practice in Chadron, Nebraska and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Teresa J Landreth, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417167370
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHADRON MEDICAL CLINIC PC
Location Address825 CENTENNIAL DRChadron, NE 69337-9400
Mailing Address825 Centennial Dr, Po Box 431Chadron, NE 69337-9400 · (308) 432-4441 · Fax (308) 432-4446
Phone(308) 432-4441
Fax(308) 432-4446
Organization SubpartNo
Authorized OfficialTeresa J LandrethOffice Manager · (308) 432-4441
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1417167370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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

825 CENTENNIAL DR, Chadron, NE 69337
Open in Google Maps ↗

Other Identifiers 1

Other01981NE · Blue Shield

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 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 2

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 28D2008776

Chadron Medical Clinic · Chadron, NE
Active · expires Jun 16, 2028
CLIA Number28D2008776
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorDr. Jerry L. Mclain
Laboratory Phone(308) 432-4441
Laboratory LocationChadron Medical Clinic825 Centennial Drive, Chadron, NE 69337
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 28D1041318

Chadron Medical Clinic PC Csc Health Services · Chadron, NE
Active · expires May 30, 2027
CLIA Number28D1041318
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorDr. Edward A. Pelton
Laboratory Phone(308) 432-6232
Laboratory LocationChadron Medical Clinic PC Csc Health Services118 Crites Hall, Csc, Chadron, NE 69337
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JERRY L MCLAIN MD
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
MARY K MOODY PA-C
Physician Assistant
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
CATHERINE A SUTERA MD
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
HEIDI L WESS PA-C
Physician Assistant
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
EDWARD A PELTON MD
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
DAVID D JOHNSON MD
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
KRISTIN K JOHNSON MD
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-4441
SHELLEY LYNN GRAVES PHARM D., R.PH.
Pharmacist
825 CENTENNIAL DR
CHADRON, NE 69337
Dawes County (308) 432-5586

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 Chadron Medical Clinic PC's NPI number?

The NPI number for Chadron Medical Clinic PC is 1417167370. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Chadron Medical Clinic PC located?

Chadron Medical Clinic PC is located at 825 Centennial Dr, Chadron, NE 69337. The listed phone number is (308) 432-4441.

What is Chadron Medical Clinic PC's specialty?

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

Does Chadron Medical Clinic PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Chadron Medical Clinic PC 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 Chadron Medical Clinic PC 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 Chadron Medical Clinic PC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.