SHENANDOAH PHYSICIANS CLINIC
NPI 1700941648
Clinic/Center - Rural Health in Sidney, IA

Active since December 22, 2006CLIA 16D1028330 · Microscopy
802 ILLINOIS ST, SIDNEY, IA 51652(712) 374-6005(712) 374-2301 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Shenandoah Physicians Clinic NPPES

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

SHENANDOAH PHYSICIANS CLINIC (NPI 1700941648) is a healthcare organization registered as a rural health in Sidney, Iowa and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 21, 2028 and lists Karen Cole, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700941648
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSHENANDOAH MEDICAL CENTER
Location Address802 ILLINOIS STSidney, IA 51652-0217
Mailing Address802 Illinois StreetSidney, IA 51652-0217 · (712) 374-6005 · Fax (712) 374-3100
Fax(712) 374-2301
Organization SubpartNo
Authorized OfficialKaren ColeCeo · (712) 246-1230
Enumeration DateDecember 22, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1700941648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in IA · 730065H
802 ILLINOIS ST, Sidney, IA 51652

Other Names 1

Doing Business AsShenandoah Physicians Clinic

Other Identifiers 1

Medicare ID-Type UnspecifiedI12503IA · Medicare Provider Number

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) 16D1028330

Shenandoah Physician's Clinic-Sidney · Sidney, IA
Active · expires Jul 21, 2028
CLIA Number16D1028330
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorKrista Wilson
Laboratory Phone(712) 246-7245
Laboratory LocationShenandoah Physician's Clinic-Sidney802 Illinois Street, Sidney, IA 51652
CLIA data matches this NPI record on: Address
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.

Clinic/Center (Rural Health)
802 ILLINOIS ST
SIDNEY, IA 51652

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 Shenandoah Medical Center's NPI number?

The NPI number for Shenandoah Medical Center is 1700941648. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider is doing business as Shenandoah Physicians Clinic.

Where is Shenandoah Medical Center located?

Shenandoah Medical Center is located at 802 Illinois St, Sidney, IA 51652. The listed phone number is (712) 374-6005.

What is Shenandoah Medical Center's specialty?

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

Does Shenandoah Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D1028330) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shenandoah Medical Center was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.