MEDICAL CLINIC LLC
NPI 1841263233
Clinic/Center - Rural Health in Tabor, IA

Active since February 08, 2006CLIA 16D0385992 · Accreditation
710 CENTER ST, TABOR, IA 51653(712) 629-2975 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Jul 23, 2024 (2 updates tracked since 2024).

About Medical Clinic Llc NPPES

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

MEDICAL CLINIC LLC (NPI 1841263233), doing business as Medical Clinic P.c., is a healthcare organization registered as a rural health in Tabor, Iowa and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Cristin A Hendrickson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841263233
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDICAL CLINIC LLC
Location Address710 CENTER STTabor, IA 51653-2069
Mailing Address1219 Main StHamburg, IA 51640-1300 · (712) 382-2626
Organization SubpartNo
Authorized OfficialCristin A HendricksonCeo · (712) 382-1515
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1841263233 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
710 CENTER ST, Tabor, IA 51653

Other Names 1

Former Legal Business NameMedical Clinic P.c.

Other Identifiers 3

Medicaid0018507IA
Other13034IA · Wellmark Bc/bs Of Ia
Medicaid0638361IA

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

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 Accreditation 16D0385992

Medical Clinic, LLC · Tabor, IA
Active · expires Jun 23, 2028
CLIA Number16D0385992
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorKelli Woltemath
Laboratory Phone(712) 629-2975
Laboratory LocationMedical Clinic, LLC710 Center Street, Tabor, IA 51653
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
710 CENTER ST
TABOR, IA 51653

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 Medical Clinic LLC's NPI number?

The NPI number for Medical Clinic LLC is 1841263233. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider was formerly known as Medical Clinic P.C..

Where is Medical Clinic LLC located?

Medical Clinic LLC is located at 710 Center St, Tabor, IA 51653. The listed phone number is (712) 629-2975.

What is Medical Clinic LLC's specialty?

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

Does Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 16D0385992) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Clinic LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Medical Clinic LLC 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 Medical Clinic LLC was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.