NPIMap

Organization Active NPI

Jefferson County Hospital

Doing business as JCHC Clinic Ottumwa

  • Family Medicine Physician
  • Ottumwa, IA
National Provider Identifier
1053284299
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JEFFERSON COUNTY HOSPITAL
Doing business as
JCHC Clinic Ottumwa
Practice address
1000 Wildwood Dr Ste 1
Ottumwa, IA 52501-3848
Phone
(641) 472-4111
NPI assigned
Sep 24, 2025
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Feickert
Title
Cfo
Phone
(641) 469-4304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1000 Wildwood Dr Ste 1
Ottumwa, IA 52501-3848

Mailing address

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Other names 1

  • JCHC Clinic Ottumwa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2340147JCHC Clinic- Ottumwa1000 Wildwood Dr Ste 1, Ottumwa, IA 52501Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Co Hosp11 organizations share this tax ID, including this one
Part of
Jefferson Co Hosp

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Wildwood Dr
Ste 1
Ottumwa, IA 52501
Phone (641) 472-4111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1053284299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-472-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILDWOOD DR STE 1",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013848",
            "telephone_number": "641-472-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "FEICKERT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-469-4304"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCHC Clinic Ottumwa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.