RCHP Ottumwa LLC
Organization Active NPI General Acute Care Hospital · Ottumwa, IA
NPI 1013233741 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1013233741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 900055H (IA)
- Legal business name
- RCHP OTTUMWA LLC
- Practice address
- 1001 Pennsylvania Ave
Ottumwa, IA 52501-2186 - Phone
- (641) 684-2300
- Fax
- (641) 684-2324
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Related certifications (CCN) 2
Facilities with the same owner 38
Practitioners 26
-
Eric Lynn Dodson, DO
-
Gary G Lee, D.O.
-
Scotlan Raeann Peterson, ARNP, CNM
-
Abigail Rae Storto, MSN, CNM, WHNP-BC
-
Yezan Hesham Abderrahman, M.D.
-
Ann M Cadwalader, MD
-
Khurshid Iqbal, DO
-
Jesse Isenstadt, D.O.
-
Robert Jordan Lakko, D.O.
-
Carol L McIntyre, D.O.
-
Yechiel Mor, MD
-
Nancie L Nordwick, MD FAAP
-
Manjinder Pannu, M.D.
-
Suren Ravuri, MD
-
Jesse Szymanski, M.D.
Affiliated clinicians 117
-
Jashim U Ahmed, MD
-
Bryan G Allen, M.D., PH.D.
-
Kurt M Anderson, M.D.
-
Shelley Bechtel, FNP-BC
-
Joshua A. S. Becker, PA-C
-
Ashley Bland, ARNP
-
Mark Christopher Boswell, CRNA
-
Kimberly Joan Brown, ARNP
-
Kelsee Browning, AGNP-C
-
Dwayne N. Campbell, M.D.
-
Atul Chawla, M.D.
-
Dorothy Cline-Campbell, D.O.
-
Amanda J Davis, ARNP
-
Shawn Dawson, M.D.
-
Shelbi Dexter, ARNP
-
Cassandra Dunlavy, ARNP
-
Heather E Easton, ARNP
-
Jill Ferrell, CRNA
-
Dominic A Formaro Jr., D.O.
-
Bruce H Fridinger, DPM
Medicare Care Compare: Hospital
- Listed as
- Ottumwa Regional Health Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 160089
- Legal name
- RCHP OTTUMWA LLC
- Doing business as
- OTTUMWA REGIONAL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- May 18, 2016
- Beds
- 235
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1001 Pennsylvania Ave
Ottumwa, IA 52501-6427 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| DSB Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2015 | 100% |
| Lifepoint Health Inc |
5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 100% |
| Marcus B Poppell |
Corporate Officer |
Nov 16, 2018 | |
| William Ziesmer |
Corporate Officer |
Feb 12, 2024 | |
| Charlotte E Lawrence |
Corporate Officer |
Jan 21, 2022 | |
| RCHP-Ottumwa Holdings Inc |
5% Or Greater Direct Ownership Interest | Nov 4, 2011 | 100% |
| Samuel Robert Barrett |
Corporate Officer |
Feb 2, 2026 | |
| Elliott Brown |
Corporate Officer |
Apr 2, 2026 | |
| Kenneth C Deboer |
Operational/Managerial Control |
Jun 30, 2025 | |
| Christopher J Monte |
Corporate Officer |
Nov 16, 2018 | |
| Lima Holdco LLC |
5% Or Greater Indirect Ownership Interest | Dec 18, 2001 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100624000473 | IA | Part a Provider - Hospital | 9830220557 | Practice locations: Fairfield, IA; Ottumwa, IA |
National Provider Directory
- Tax ID family
- RCHP-Ottumwa Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 900055H | IA | Yes |
Addresses
Primary practice location
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Mailing address
1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600890 | Medicaid | IA |
Other names
- Ottumwa Regional Health Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ottumwaregional@ottumwa.medalliesdirect.net |
NPI Registry JSON
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1013233741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012186",
"telephone_number": "641-684-2300",
"fax_number": "641-684-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012186",
"telephone_number": "641-684-2300",
"fax_number": "641-684-2324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RCHP OTTUMWA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IA",
"license": "900055H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600890",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ottumwaregional@ottumwa.medalliesdirect.net",
"affiliation": "N",
"address_1": "1001 Pennsylvania Ave",
"city": "Ottumwa",
"state": "IA",
"country_code": "US",
"postal_code": "525012186",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ottumwa Regional Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ottumwa Regional Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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- RCHP - Ottumwa LLC
- RCHP - Ottumwa LLC
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All providers in Ottumwa, IA · General Acute Care Hospital in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.