CLAY COUNTY HEALTH DEPARTMENT – State or Local Public Health Clinic/Center, NPI 1124021043

CLAY COUNTY HEALTH DEPARTMENT is a healthcare provider. based in Clay center, Nebraska. specializing in State or Local Public Health Clinic/Center. The organization holds a License No. 161001 (NE). The NPI Number for CLAY COUNTY HEALTH DEPARTMENT is 1124021043

Main info

Organization
Name
CLAY COUNTY HEALTH DEPARTMENT
NPI
1124021043
Phone
(402) 762-3571
Address
202 W FAIRFIELD ST
Authorized Official
DONNA JENSEN DIRECTOR R.N.
Enumeration Date
24 May 2005
Last Update Date
19 June 2023

Contacts

Secure Messaging
denise.carroll@claycountynebraska.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

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Provider Addresses for CLAY COUNTY HEALTH DEPARTMENT

  • West Fairfield Street, Clay Center, Clay County, Nebraska, 68933, United States of America

    CLAY CENTER, NE 689331439

    Phone: (402) 762-3571

    Fax: (402) 762-3573

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1050 days ago).

Enrollment records

1

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090623000235OMass Immunization (Roster Biller Only)NE2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68933)

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Reviews

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Frequently asked questions

How do I look up CLAY COUNTY HEALTH DEPARTMENT by NPI?
Use NPI 1124021043 when you need to reference CLAY COUNTY HEALTH DEPARTMENT in forms, claims, or directories.
Does this profile mean CLAY COUNTY HEALTH DEPARTMENT is currently active?
Yes — CLAY COUNTY HEALTH DEPARTMENT appears active in the national provider directory.
Does CLAY COUNTY HEALTH DEPARTMENT list a primary specialty?
If you are matching referrals, note State or Local Public Health Clinic/Center for CLAY COUNTY HEALTH DEPARTMENT. Clinical services aligned with this taxonomy classification.
What location shows for CLAY COUNTY HEALTH DEPARTMENT?
We surface Clay Center, Nebraska for CLAY COUNTY HEALTH DEPARTMENT based on available NPPES addresses.
What if Clay Center, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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