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Revalidation record

Henry County Health Center Inc — revalidation due 2026-07-31

past duemay be stale

NPI 1871177477 · Non-DME Part B · IA · Enrollment ID O20210701003616

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 27 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210701003616IA855B2026-07-31
O20250310000305FL855BTBD
O20250313001979AZ855BTBD
O20250408001677TX855BTBD
O20250410000154CA855BTBD
O20250516000471PA855BTBD
O20250519002466MD855BTBD
O20250529002432GA855BTBD
O20250529003873CO855BTBD
O20250530002089UT855BTBD
O20250530002939NM855BTBD
O20250603000976DC855BTBD
O20250605000212NY855BTBD
O20250611003637MO855BTBD
O20250620000439MA855BTBD
O20251212000194NH855BTBD
O20260124000132NC855BTBD
O20260126001320OK855BTBD
O20260126001539WA855BTBD
O20260212002383AL855BTBD
O20260218001522SC855BTBD
O20260219000892IL855BTBD
O20260312000863NJ855BTBD
O20260317001241NE855BTBD
O20260422000689HI855BTBD
O20260428002394NV855BTBD
O20260707004256ND855BTBD
Revalidation due
2026-07-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-07-31 (90 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

Get the rescue checklist — $350Estimate my cycle end

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-07-31

Not an official CMS system. Verify before filing.

All IA revalidation dates for October 2026Where this date comes from