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

Active since August 02, 2006CLIA 28D0662416 · Waiver
912 CENTRAL AVE, GRANT, NE 69140(308) 352-7100(308) 352-7103 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grant Medical Clinic NPPES

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

GRANT MEDICAL CLINIC (NPI 1720095755) is a healthcare organization registered as a critical access hospital in Grant, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists James Lebrun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720095755
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NamePERKINS COUNTY HOSPITAL DISTRICT
Location Address912 CENTRAL AVEGrant, NE 69140-3099
Mailing Address900 Lincoln AveGrant, NE 69140-3095 · (308) 352-7100 · Fax (308) 352-7103
Phone(308) 352-7100
Fax(308) 352-7103
Organization SubpartNo
Authorized OfficialJames LebrunCeo · (308) 352-7200
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 17, 2013
✔ NPI 1720095755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in NE · 4142
Definition

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.

912 CENTRAL AVE, Grant, NE 69140
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Other Names 1

Doing Business AsGrant Medical Clinic

Other Identifiers 2

Medicare OSCAR/certification086001
Medicaid=========13NE

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

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 28D0662416

Grant Medical Clinic · Grant, NE
Active · expires Nov 30, 2026
CLIA Number28D0662416
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorKristi S. Kohl MD
Laboratory Phone(308) 352-7100
Laboratory LocationGrant Medical Clinic912 Central Avenue, Grant, NE 69140
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

SHANNON FISHER PA-C
Physician Assistant
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
DR. TAMARA L. ROBBINS M.D.
Family Medicine
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
MRS. ANGELA MAE PATRICK APRN
Nurse Practitioner (Family)
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
MR. CLIFFORD RAY COLGLAZIER MD
General Practice
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
LAUREN SEXSON APRN
Nurse Practitioner (Family)
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
MARILYN MCDANIEL APRN
Nurse Practitioner
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
PERKINS COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100
TRACI E DRAUCKER PA-C
Physician Assistant
912 CENTRAL AVE
GRANT, NE 69140
Perkins County (308) 352-7100

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 Perkins County Hospital District's NPI number?

The NPI number for Perkins County Hospital District is 1720095755. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Grant Medical Clinic.

Where is Perkins County Hospital District located?

Perkins County Hospital District is located at 912 Central Ave, Grant, NE 69140. The listed phone number is (308) 352-7100.

What is Perkins County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

Does Perkins County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0662416) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perkins County Hospital District 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 Perkins County Hospital District 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 Perkins County Hospital District was last updated on July 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.