KCHS Functional Health Center – Rural Health Clinic/Center, NPI 1205977873

KCHS Functional Health Center is a healthcare provider. based in Minden, Nebraska. specializing in Rural Health Clinic/Center. The NPI Number for KCHS Functional Health Center is 1205977873

Main info

Organization
Name
KCHS Functional Health Center
NPI
1205977873
Phone
(308) 832-3400
Address
727 E 1ST ST
Authorized Official
LUKE D POORE CEO
Enumeration Date
8 February 2007
Last Update Date
9 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for KCHS Functional Health Center

  • 727 E 1ST ST

    MINDEN, NE 689591705

    Phone: (308) 832-3400

    Fax: (308) 832-3414

    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: 2005-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (648 days ago).

Enrollment records

1

Earliest due date

2024-08-31

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
O20050114000094ORural Health ClinicNE2024-08-31

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 68959)

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Reviews

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Frequently asked questions

Is there an official ID for KCHS Functional Health Center in U.S. healthcare records?
The official identifier for KCHS Functional Health Center is NPI 1205977873.
Is KCHS Functional Health Center shown as active in public data?
Registry records indicate KCHS Functional Health Center maintains an active NPI.
What kind of doctor is KCHS Functional Health Center?
KCHS Functional Health Center is associated with Rural Health Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Where in Nebraska is KCHS Functional Health Center registered?
Use Minden, Nebraska as the headline location for KCHS Functional Health Center here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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