NPIMap

Organization Active NPI

River Hills Community Health Center Inc

Doing business as RHCHC BH Sigourney Site

  • Federally Qualified Health Center (FQHC)
  • Ottumwa, IA
National Provider Identifier
1245775832
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RIVER HILLS COMMUNITY HEALTH CENTER INC
Doing business as
RHCHC BH Sigourney Site
Practice address
201 S Market St
Ottumwa, IA 52501-2924
Phone
(641) 684-6896
Fax
(641) 226-5759
NPI assigned
Jan 5, 2017
Last updated
Aug 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Kim Grove
Title
Billing Manager
Phone
(641) 684-6896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

201 S Market St
Ottumwa, IA 52501-2924

Mailing address

300 W Kelley St
Sigourney, IA 52591-1100
Phone (641) 224-8061

Other names 1

  • RHCHC BH Sigourney Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419000113 IA Part A Provider - Federally Qualified Health Center (FQHC) 8426076225 Practice locations: Sigourney, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245775832. Details of each certification follow.

Federally qualified health center certification: CCN 161871

Legal name
RIVER HILLS COMMUNITY HEALTH CENTER INC
Doing business as
RHCHC BH SIGOURNEY SITE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 19, 2017
Last certification
Apr 19, 2017
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Enrollment address
300 W Kelley St
Sigourney, IA 52591-1100

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
River Hills Community Health Center Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Beathricia Wilcoxson Individual Corporate OfficerBoard Member Oct 1, 2023
Bonnie Campbell Individual Corporate OfficerBoard Member Jun 21, 2022
Timothy Brcka Individual Corporate OfficerBoard Member May 16, 2022
Joy C Alexander Individual Corporate OfficerCeo Feb 7, 2022
Rachelle Mitchell-Shadduck Individual Corporate OfficerBoard Member Mar 1, 2018
Joshua Stevens Individual Operational/Managerial Control Sep 3, 2019
Shuting Zhang Individual Operational/Managerial ControlBoard Member Apr 18, 2023
Lori Miller Individual Corporate OfficerCfo Jul 29, 2019
Behtany Short Individual Operational/Managerial ControlBoard Member Oct 1, 2024
Brenda Hostetler Individual Corporate OfficerBoard Member Mar 1, 2018
Gina M Throckmorton Individual Corporate OfficerCoo Oct 13, 2003
Operational/Managerial ControlCfo Oct 13, 2003
James M Hansen Individual Operational/Managerial ControlBoard Member Jun 1, 2022
Michelle Weldon Individual Operational/Managerial ControlBoard Member Oct 1, 2023

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1245775832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W KELLEY ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911100",
            "telephone_number": "641-224-8061",
            "fax_number": "641-224-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MARKET ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012924",
            "telephone_number": "641-684-6896",
            "fax_number": "641-226-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "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": "BILLING MANAGER",
        "authorized_official_telephone_number": "641-684-6896"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHCHC BH Sigourney Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.