BENNETT COUNTY RURAL HEALTH CLINIC
NPI 1770958837
Clinic/Center - Rural Health in Martin, SD

Active since December 01, 2015CLIA 43D2109891 · Waiver
102 MAJOR ALLEN ST, MARTIN, SD 57551(605) 685-1660(605) 685-1166 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2021, Dec 1, 2015 (2 updates tracked since 2015).

About Bennett County Rural Health Clinic NPPES

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

BENNETT COUNTY RURAL HEALTH CLINIC (NPI 1770958837) is a healthcare organization registered as a rural health in Martin, South Dakota and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Michael Christensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770958837
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBENNETT COUNTY RURAL HEALTH CLINIC
Location Address102 MAJOR ALLEN STMartin, SD 57551-6005
Mailing AddressPo Box 40Martin, SD 57551-0040 · (605) 685-1660 · Fax (605) 685-1166
Fax(605) 685-1166
Organization SubpartYesParent: Bennett County Hospital And Nursing Home
Authorized OfficialMichael ChristensenCeo · (605) 685-6622
Enumeration DateDecember 1, 2015
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1770958837 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 ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License 10549 (SD)
102 MAJOR ALLEN ST, Martin, SD 57551

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennett County Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bennett County Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1821582990
102 MAJOR ALLEN ST
Martin, SD 57551
(605) 685-1660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366405086
1000 HEALTH CENTER ROAD
Kyle, SD 57752
(605) 455-2451
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1790102549
505 N RIVER ST STE 2
Hot Springs, SD 57747
(057) 453-3206
✔ PECOS✔ Accepts Medicare90 mi
Nurse Practitioner
NPI 1487293692
2525 W MAIN ST STE 210
Rapid City, SD 57702
(605) 645-0100
✔ PECOS✔ Accepts Medicare99 mi
Family Practice
NPI 1013139823
300 S BYRON BLVD
Chamberlain, SD 57325
(605) 234-6551
✔ PECOS✔ Accepts Medicare128 mi
Family Practice
NPI 1326198300
6110 S MINNESOTA AVE
Sioux Falls, SD 57108
(605) 328-5800
✔ PECOS✔ Accepts Medicare253 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 43D2109891

Bennett County Rural Health Clinic · Martin, SD
Active · expires Mar 3, 2028
CLIA Number43D2109891
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorKendra Kahler
Laboratory Phone(605) 685-1660
Laboratory LocationBennett County Rural Health Clinic302 South 1st Avenue PO Box Box 40, Martin, SD 57551
CLIA data matches this NPI record on: Name Phone
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 Bennett County Rural Health Clinic's NPI number?

The NPI number for Bennett County Rural Health Clinic is 1770958837. It was assigned to this organization in the NPPES registry on December 1, 2015.

Where is Bennett County Rural Health Clinic located?

Bennett County Rural Health Clinic is located at 102 Major Allen St, Martin, SD 57551. The listed phone number is (605) 685-1660.

What is Bennett County Rural Health Clinic's specialty?

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

Is Bennett County Rural Health Clinic enrolled in Medicare?

Yes. Bennett County Rural Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bennett County Rural Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Bennett County Rural Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bennett County Rural Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2109891) is associated with this NPI, valid through March 3, 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 Bennett County Rural Health Clinic was last updated on November 30, 2021. 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.