Active NPI
Ottumwa Regional Health Center Inc
- Multi-Specialty Clinic/Center
- Ottumwa, IA
National Provider Identifier
1174568794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- OTTUMWA REGIONAL HEALTH CENTER INC
- Doing business as
- ORHC Clinics
- Practice address
- 1001 Pennsylvania Ave
Central Clinic Billing
Ottumwa, IA 52501-6427 - Phone
- (641) 684-3053
- Fax
- (641) 683-2855
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas R. Siemers
- Title
- Interim President Ceo
- Phone
- (641) 684-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | IA | Primary |
Addresses
Primary practice location
1001 Pennsylvania Ave
Central Clinic Billing
Ottumwa, IA 52501-6427
Mailing address
1001 Pennsylvania Ave
Central Clinic Billing
Ottumwa, IA 52501-6427
Phone (641) 684-3053
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0286971 | Medicaid | IA | |
| CJ4853 | Other | IA | RAILROAD MEDICARE |
| 42020 | Other | IA | BCBS ELDON |
| 0218792 | Medicaid | IA | |
| 34032 | Other | IA | BCBS MULTI SPECIALTY |
| 36762 | Other | IA | BCBS ALLERGY |
| 268599 | Medicaid | IA | |
| 43597 | Other | IA | BCBS EDDYVILLE |
| 0182600 | Medicaid | IA | |
| 48691 | Other | IA | BCBS BHCS |
| C62117 | Other | IA | RAILROAD MEDICRE |
| 0268599 | Medicaid | IA | |
| 46362 | Other | IA | BCBS PSYCH MED |
Other names 1
- ORHC Clinics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1174568794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"address_2": "CENTRAL CLINIC BILLING",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427",
"telephone_number": "641-684-3053",
"fax_number": "641-683-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"address_2": "CENTRAL CLINIC BILLING",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427",
"telephone_number": "641-684-3053",
"fax_number": "641-683-2855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTUMWA REGIONAL HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "SIEMERS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "INTERIM PRESIDENT CEO",
"authorized_official_telephone_number": "641-684-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0286971",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ4853",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ELDON",
"identifier": "42020",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0218792",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MULTI SPECIALTY",
"identifier": "34032",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALLERGY",
"identifier": "36762",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268599",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EDDYVILLE",
"identifier": "43597",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0182600",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BHCS",
"identifier": "48691",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICRE",
"identifier": "C62117",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268599",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PSYCH MED",
"identifier": "46362",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ORHC Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ottumwa, IA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.