Active NPI
River Hills Community Health Center Inc.
Doing business as RHCHC Pekin Community Schools
- Federally Qualified Health Center (FQHC)
- Packwood, IA
National Provider Identifier
1265086680
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 Pekin Community Schools
- Practice address
- 1062 Birch Ave
Packwood, IA 52580-8542 - Phone
- (641) 683-5773
- NPI assigned
- Jul 25, 2019
- Last updated
- Aug 6, 2020
- 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 Director
- Phone
- (641) 684-6896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1062 Birch Ave
Packwood, IA 52580-8542
Mailing address
PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896
Other names 1
- RHCHC Pekin Community Schools
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265086680. Details of each certification follow.
Federally qualified health center certification: CCN 161884
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 PEKIN COMMUNITY SCHOOLS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 19, 2019
- Last certification
- Aug 19, 2019
- Ownership / control type
- For profit – corporation
- Facility address
- 1062 Birch Ave
Packwood, IA 52580
National Provider Directory
National Provider Directory- Part of
- River Hills Community Health Center Keokuk Co Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596672000000",
"number": "1265086680",
"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": "1062 BIRCH AVE",
"city": "PACKWOOD",
"state": "IA",
"postal_code": "525808542",
"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": "2019-07-25",
"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 DIRECTOR",
"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 Pekin Community Schools",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Packwood, 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.