1. Home
  2. Directory
  3. Wisconsin
  4. Potosi
  5. Clinic Center
  6. NPI Profile

POTOSI TENNYSON MEDICAL CLINIC
NPI 1699724443
Clinic/Center - Rural Health in Potosi, WI

Active since May 09, 2006CLIA 52D2168134 · Waiver
114 US HIGHWAY 61 N, POTOSI, WI 53820(608) 723-2131 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Jul 5, 2019, Feb 26, 2019 (3 updates tracked since 2019).

About Potosi Tennyson Medical Clinic NPPES

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

POTOSI TENNYSON MEDICAL CLINIC (NPI 1699724443) is a healthcare organization registered as a rural health in Potosi, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Joel Gehling, Cfo, as its authorized official.

NPPES Registry Identity

NPI1699724443
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRANT REGIONAL HEALTH CENTER, INC
Location Address114 US HIGHWAY 61 NPotosi, WI 53820-9502
Mailing Address114 Us Highway 61 NPotosi, WI 53820-9502
Phone(608) 723-2131
Organization SubpartYes
Authorized OfficialJoel GehlingCfo · (608) 723-3202
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 14, 20223 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1699724443 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 ListedFamily MedicineTaxonomy 207Q00000X
114 US HIGHWAY 61 N, Potosi, WI 53820
Open in Google Maps ↗

Other Names 1

Doing Business AsPotosi Tennyson Medical Clinic

Other Identifiers 1

Medicaid100192052WI

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 Anthem Blue Cross and Blue Shield, Medica, Quartz.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 52D2168134

Potosi Tennyson Medical Clinic · Potosi, WI
Active · expires Jun 20, 2027
CLIA Number52D2168134
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorMs. Samantha D. Brooks
Laboratory Phone(608) 723-5351
Laboratory LocationPotosi Tennyson Medical Clinic114 Hwy 61 N, Potosi, WI 53820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Grant Regional Health Center, Inc's NPI number?

The NPI number for Grant Regional Health Center, Inc is 1699724443. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Potosi Tennyson Medical Clinic.

Where is Grant Regional Health Center, Inc located?

Grant Regional Health Center, Inc is located at 114 Us Highway 61 N, Potosi, WI 53820. The listed phone number is (608) 723-2131.

What is Grant Regional Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Grant Regional Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2168134) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grant Regional Health Center, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Quartz list Grant Regional Health Center, Inc 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 Grant Regional Health Center, Inc was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.