NPIMap

Organization Active NPI

Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

Doing business as CHI Health Clinic Oakland

  • Rural Health Clinic/Center
  • Oakland, IA
National Provider Identifier
1366063794
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA
Doing business as
CHI Health Clinic Oakland
Practice address
700 S Highway St
Oakland, IA 51560-4357
Phone
(712) 482-6484
NPI assigned
Apr 27, 2020
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

700 S Highway St
Oakland, IA 51560-4357

Mailing address

700 S Highway St
Oakland, IA 51560-4357

Other names 1

  • CHI Health Clinic Oakland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200928002271 IA Part A Provider - Rural Health Clinic 3678482130 Practice locations: Oakland, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366063794. Details of each certification follow.

Rural health clinic certification: CCN 168646

Legal name
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA
Doing business as
CHI HEALTH CLINIC OAKLAND
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 29, 2020
Last certification
Aug 13, 2025
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Enrollment address
700 S Highway St
Oakland, IA 51560-4357
Related CCNs
161309

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0385900CHI Health Clinic Oakland700 South Highway Street, Oakland, IA 51560Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Jensen Law8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

707 Iowa Ave
Dunlap, IA 51529
Phone (712) 643-2298

704 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

410 Ely St
Woodbine, IA 51579
Phone (712) 647-2566

518 Lincolnway St
Woodbine, IA 51579
Phone (712) 647-2566

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
CHI Nebraska Organization, Omaha, NE Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
David Jones Individual Operational/Managerial ControlPresident Apr 17, 2021
Cindy a Alloway Individual Corporate DirectorBoard Member Jul 1, 2023
Tim Bricker Individual Corporate OfficerCentral Region President Jul 1, 2023
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Nick O'Tool Individual Corporate OfficerMarket Cfo Jan 7, 2023
Operational/Managerial ControlMarket Cfo Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
Evert Kuiper Individual Corporate DirectorCeo - CHI Health Jan 17, 2022
Operational/Managerial ControlCeo - CHI Health Jan 17, 2022
John E Petersdorf Individual Corporate Director Jan 21, 2021
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1366063794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HIGHWAY ST",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515604357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HIGHWAY ST",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515604357",
            "telephone_number": "712-482-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health Clinic Oakland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health Clinic Oakland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, IA

Sources for this page

Verify at the official NPI Registry.