GRANT MEDICAL CLINIC
NPI 1720095755
Clinic/Center - Critical Access Hospital in Grant, NE

NPI Status: Active since August 02, 2006

Contact Information

912 CENTRAL AVE
GRANT, NE
ZIP 69140
Phone: (308) 352-7100
Fax: (308) 352-7103

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  • Organization
  • Clinic/Center
  • Critical Access Hospital
  • Accepts Insurance
  • CLIA Number: 28D0662416
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 11-30-2026

About GRANT MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Grant Medical Clinic, a provider established in Grant, Nebraska operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1720095755 assigned on August 2006. The practitioner's primary taxonomy code is 261QC0050X with license number 4142 (NE). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Grant Medical Clinic. The authorized official of this NPI record is James Lebrun (Ceo)

NPI
1720095755
Provider Legal Name
PERKINS COUNTY HOSPITAL DISTRICT
Other Organization Name
GRANT MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
912 CENTRAL AVE GRANT, NE 69140
Location Phone
(308) 352-7100
Location Fax
(308) 352-7103
Mailing Address
900 LINCOLN AVE GRANT, NE 69140
Mailing Phone
(308) 352-7100
Mailing Fax
(308) 352-7103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2006
Last Update Date
07-17-2013
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
License No.
4142
License State
NE
Taxonomy Description
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES LEBRUN

Authorized Official Title
CEO
Authorized Official Phone
(308) 352-7200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
086001MEDICARE OSCAR/CERTIFICATION (06) 
=========13MEDICAID (05)NE 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D0662416
Facility Type
Rural Health Clinic
Certificate Effective Date
December 01, 2024
Certificate Expiration Date
November 30, 2026
Laboratory Director
KRISTI S. KOHL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grant Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GRANT MEDICAL CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720095755, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 0 + 9 + 1 + 0 + 7 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1720095755.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Rural Health)
912 CENTRAL AVE
GRANT, NE 69140
Nurse Practitioner (Family)
912 CENTRAL AVE
GRANT, NE 69140
Nurse Practitioner (Family)
912 CENTRAL AVE
GRANT, NE 69140
Physician Assistant
912 CENTRAL AVE
GRANT, NE 69140
Nurse Practitioner
912 CENTRAL AVE
GRANT, NE 69140
Physician Assistant
912 CENTRAL AVE
GRANT, NE 69140
General Practice
912 CENTRAL AVE
GRANT, NE 69140
Family Medicine
912 CENTRAL AVE
GRANT, NE 69140
Nurse Practitioner (Family)
912 CENTRAL AVE
GRANT, NE 69140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720095755, enumerated as an "organization" on August 02, 2006.

The provider is located at 912 CENTRAL AVE GRANT, NE 69140 and the phone number is (308) 352-7100.

Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.