MEMORIAL HEALTH CLINIC – Family Medicine Physician, NPI 1881603850

MEMORIAL HEALTH CLINIC is a healthcare provider. based in Aurora, Nebraska. specializing in Family Medicine Physician. The NPI Number for MEMORIAL HEALTH CLINIC is 1881603850

Main info

Organization
Name
MEMORIAL HEALTH CLINIC
NPI
1881603850
Phone
(402) 694-3191
Address
609 O ST
Authorized Official
PHIL FENDT CHIEF FINANCIAL OFFICER
Enumeration Date
7 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for MEMORIAL HEALTH CLINIC

  • Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States

    AURORA, NE 688181100

    Phone: (402) 694-3191

    Fax: (402) 694-2146

    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: 2010-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20100213000119OClinic/Group PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 68818)

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Reviews

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Frequently asked questions

How is MEMORIAL HEALTH CLINIC identified in CMS data?
CMS-hosted NPPES data lists MEMORIAL HEALTH CLINIC with NPI 1881603850.
Is MEMORIAL HEALTH CLINIC still practicing?
MEMORIAL HEALTH CLINIC is currently listed as active in the public NPI registry.
What healthcare role does MEMORIAL HEALTH CLINIC hold?
Scheduling teams often label MEMORIAL HEALTH CLINIC under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MEMORIAL HEALTH CLINIC on a map?
Expect Aurora, Nebraska as a primary anchor for MEMORIAL HEALTH CLINIC unless the record lists multiple sites.
Why does MEMORIAL HEALTH CLINIC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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DR. TIMOTHY JAMES WIDHALM (M.D.)

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