SNODGRASS MEMORIAL CLINIC, LLC
NPI 1942930094
Family Medicine in Dodge City, KS
About Snodgrass Memorial Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SNODGRASS MEMORIAL CLINIC, LLC (NPI 1942930094) is a healthcare organization registered as a family medicine in Dodge City, Kansas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Marcia M Snodgrass, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Snodgrass Memorial Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Snodgrass Memorial Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 17D1067337
Snodgrass Memorial Clinic LLC · Dodge City, KSFrequently 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 Snodgrass Memorial Clinic, LLC's NPI number?
The NPI number for Snodgrass Memorial Clinic, LLC is 1942930094. It was assigned to this organization in the NPPES registry on June 13, 2022.
Where is Snodgrass Memorial Clinic, LLC located?
Snodgrass Memorial Clinic, LLC is located at 2200 Summerlon Cir Ste A, Dodge City, KS 67801. The listed phone number is (620) 408-9700.
What is Snodgrass Memorial Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Snodgrass Memorial Clinic, LLC enrolled in Medicare?
Yes. Snodgrass Memorial Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Snodgrass Memorial Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Snodgrass Memorial Clinic, LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Snodgrass Memorial Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D1067337) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Snodgrass Memorial Clinic, LLC accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Snodgrass Memorial 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 Snodgrass Memorial Clinic, LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Snodgrass Memorial Clinic, Llc · NPI 1942930094
Family Medicine organization in Dodge City, Kansas. Organization record, active in the CMS NPPES registry since June 13, 2022.
## Identity
- **NPI:** 1942930094 (Entity type: Organization)
- **Enumerated:** June 13, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Marcia Snodgrass, OWNER
## Practice location
- **Address:** 2200 SUMMERLON CIR STE A, Dodge City, KS 67801-2905
- **Phone:** (620) 408-9700 · **Fax:** (620) 408-9701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1942930094) · Data from the CMS NPPES public registry.