Active NPI
River Hills Community Health Center Inc.
- Federally Qualified Health Center (FQHC)
- Fairfield, IA
National Provider Identifier
1215581467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- RIVER HILLS COMMUNITY HEALTH CENTER INC.
- Doing business as
- RHCHC Fairfield Middle School
- Practice address
- 404 W Fillmore Ave
Fairfield, IA 52556-4005 - Phone
- (641) 683-5773
- NPI assigned
- Jul 26, 2019
- Organization subpart
- Yes
- Parent organization
- RIVER HILLS COMMUNITY HEALTH CENTER INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Grove
- Title
- Revenue Cycle Manager
- Phone
- (641) 684-6896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
404 W Fillmore Ave
Fairfield, IA 52556-4005
Mailing address
PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896
Other names 1
- RHCHC Fairfield Middle School
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 161888
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- RHCHC FAIRFIELD MIDDLE SCHOOL
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 20, 2019
- Last certification
- Sep 20, 2019
- Ownership / control type
- For profit – corporation
- Facility address
- 404 W Fillmore Ave
Fairfield, IA 52556
National Provider Directory
National Provider Directory- Part of
- River Hills Community Health Center Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1215581467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525010458",
"telephone_number": "641-684-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W FILLMORE AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525564005",
"telephone_number": "641-683-5773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC.",
"enumeration_date": "2019-07-26",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A",
"authorized_official_last_name": "GROVE",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "641-684-6896"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RHCHC Fairfield Middle School",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.