NPIMap

Organization Active NPI

River Hills Community Health Center Inc

Doing business as River Hills Pediatric Clinic

  • Federally Qualified Health Center (FQHC)
  • Ottumwa, IA
National Provider Identifier
1427308535
Registry record updated Jul 21, 2022
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
River Hills Pediatric Clinic
Practice address
201 S Market St
Ottumwa, IA 52501-2924
Phone
(641) 684-3000
Fax
(641) 684-3080
NPI assigned
Sep 16, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER HILLS COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. 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

PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896

Other identifiers 1

IdentifierTypeStateIssuer
161858OtherIAOSCAR

Other names 1

  • River Hills Pediatric Clinic Doing business as

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 1427308535. Details of each certification follow.

  • CCN 161858 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 161858

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
RIVER HILLS PEDIATRIC CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 14, 2010
Last certification
Jun 14, 2010
Ownership / control type
Non-profit – church related
Facility address
201 South Market Street
Ottumwa, IA 52501

National Provider Directory

National Provider Directory
Part of
River Hills Community Health Center Inc

NPI Registry JSON

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427308535",
    "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",
            "fax_number": "641-226-5759"
        },
        {
            "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": "641-684-3000",
            "fax_number": "641-684-3080"
        }
    ],
    "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": "2012-09-16",
        "last_updated": "2022-07-21",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "161858",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Hills Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.