NPIMap

Organization Active NPI

Infinity Health

  • Federally Qualified Health Center (FQHC)
  • Bedford, IA
National Provider Identifier
1417768565
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
INFINITY HEALTH
Practice address
507 Central Ave Ste 100
Bedford, IA 50833-1406
Phone
(641) 446-2383
NPI assigned
Jan 17, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INFINITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Kyle AhlenstorfNPI 1528442712
Title
Ceo
Phone
(641) 446-2383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

507 Central Ave Ste 100
Bedford, IA 50833-1406

Mailing address

302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828003900 IA Part A Provider - Federally Qualified Health Center (FQHC) 5597717496 Practice locations: Bedford, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417768565. Details of each certification follow.

Federally qualified health center certification: CCN 161043

Legal name
INFINITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 28, 2025
Last certification
Aug 28, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
507 Central Ave
Ste 100
Bedford, IA 50833-1406

Other NPIs with the same Medicare PAC ID 11

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

National Provider Directory

National Provider Directory
Tax ID family
Infinity Health13 organizations share this tax ID, including this one
Part of
Infinity Health

Other organizations with this tax ID 12

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

Locations

117 S Main St
Albia, IA 52531
Phone (641) 932-2065

211 E State St
Centerville, IA 52544
Phone (641) 856-6471

125 S Grand St
Chariton, IA 50049
Phone (641) 774-8484

1711 Osceola Ave
Ofc
Chariton, IA 50049
Phone (641) 774-8484

1711 Osceola Ave
Ste 115
Chariton, IA 50049
Phone (641) 774-8484

102 N Franklin St
Corydon, IA 50060
Phone (641) 872-1750

102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750

204 S Franklin St
Corydon, IA 50060
Phone (641) 321-6283

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Brenda Fry Individual Operational/Managerial ControlBoard Member Mar 1, 2022 11.1%
Pamela Burlin Individual Operational/Managerial ControlVice Chair Nov 30, 2021 11.1%
Tanya Coffelt Individual Operational/Managerial ControlAt Large Member Feb 28, 2023 11.1%
William Weaver Individual Operational/Managerial ControlBoard Member Apr 26, 2022 11.1%
Alan Wilson Individual Operational/Managerial ControlBoard Member Mar 23, 2010 11.1%
William Morain Individual Operational/Managerial ControlBoard Secretary Jan 1, 2005 11.1%
Mary Frisbie Individual Operational/Managerial ControlTreasurer Feb 28, 2023 11.1%
Kathleen Lerma Individual Operational/Managerial ControlBoard Member Mar 26, 2024 11.1%
Kyle E Ahlenstorf Individual Corporate OfficerCeo Dec 29, 2024
W-2 Managing EmployeeCeo Dec 29, 2024
Marvin McCann Individual Operational/Managerial ControlBoard Chair Apr 27, 2021 11.1%

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1417768565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CENTRAL AVE STE 100",
            "city": "BEDFORD",
            "state": "IA",
            "postal_code": "508331406",
            "telephone_number": "641-446-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITY HEALTH",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "AHLENSTORF",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-446-2383"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IA

Sources for this page

Verify at the official NPI Registry.