NPIMap

Organization Active NPI

Olathe Community Clinic Inc.

Doing business as River Valley Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Montrose, CO
National Provider Identifier
1245600493
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OLATHE COMMUNITY CLINIC INC.
Doing business as
River Valley Family Health Center
Practice address
1010 Rio Grande Ave
Montrose, CO 81401
Phone
(970) 497-3333
Fax
(855) 299-7837
NPI assigned
Sep 30, 2015
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Kaye Hotsenpiller
Title
Coo
Phone
(970) 323-6141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Medicine Physician 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1010 Rio Grande Ave
Montrose, CO 81401

Mailing address

PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141

Other names 1

  • River Valley Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130806000069 CO Part B Supplier - Clinic/Group Practice 5395998744 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delta, CO; Montrose, CO; Olathe, CO
O20160107000551 CO Part A Provider - Federally Qualified Health Center (FQHC) 5395998744 Practice locations: Montrose, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245600493. Details of each certification follow.

Federally qualified health center certification: CCN 061961

Legal name
OLATHE COMMUNITY CLINIC INC
Doing business as
RIVER VALLEY FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 7, 2016
Last certification
Jan 7, 2016
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
May 24, 2011 in CO
Enrollment address
1010 S Rio Grande Ave
Montrose, CO 81401-4831

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Casey Payne Individual Corporate OfficerChief Financial Officer Nov 25, 2019 33%
Operational/Managerial ControlChief Financial Officer Nov 25, 2019 33%
OtherChief Financial Officer Nov 25, 2019 33%
Naomi Willden Individual Corporate DirectorBoard of Directors, Vice Chair Feb 23, 2022 10%
Kaye L Hotsenpiller Individual Corporate OfficerChief Operations Officer Aug 24, 2018 33%
OtherChief Operations Officer Oct 1, 2014 33%
Penelope Harris Individual Corporate DirectorBoard of Directors, General Member Jul 24, 2024 10%
Penelope Powell Individual Corporate DirectorBoard of Directors, General Member Aug 28, 2024 10%
Kristopher Stewart Individual Corporate DirectorBoard of Directors, General Member Sep 25, 2024 10%
Felicia Velasquez Individual Corporate DirectorGeneral Board Member Nov 19, 2024
Anne Gallegos Individual Corporate DirectorBoard of Directors, Secretary Nov 16, 2022 10%
Jacqueline Davis Individual Corporate DirectorBoard of Directors, Chairwoman May 24, 2023 10%
Kelsey McCarthy Individual Corporate DirectorTreasurer Feb 23, 2022 10%
Richard Taylor Individual Corporate DirectorBoard Member Jan 25, 2023 10%
Ted Moe Individual Corporate DirectorGeneral Board Member Mar 17, 2021 10%
Elisa Rodriguez Individual Corporate DirectorBoard Member Jan 26, 2022 10%
Maria Baltazar Individual Corporate DirectorGeneral Board Member Sep 25, 2024
Angela Fedler Individual Corporate DirectorGeneral Board Member Jan 25, 2023 10%

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1245600493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814250529",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RIO GRANDE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-497-3333",
            "fax_number": "855-299-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLATHE COMMUNITY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "HOTSENPILLER",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-323-6141"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Valley Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.