NPIMap

Organization Active NPI

River Hills Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Centerville, IA
National Provider Identifier
1447597844
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
Practice address
1015 N 18TH St
Centerville, IA 52544-1170
Phone
(641) 856-4400
Fax
(641) 856-4144
NPI assigned
Jan 7, 2013
Last updated
Aug 6, 2020By 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 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 Primary

Addresses

Primary practice location

1015 N 18TH St
Centerville, IA 52544-1170

Mailing address

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

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 1447597844. Details of each certification follow.

  • CCN 161857 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 161857

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 COMMUNITY HEALTH CTR-APPANOOSE COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 12, 2010
Last certification
Jun 12, 2010
Ownership / control type
Non-profit – church related
Facility address
1015 N 18TH Street, PO Box 248
Centerville, IA 52544

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
16D1096730River Hills Community Health Center1015 North 18TH Street, Suite C, Centerville, IA 52544Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Part of
River Hills CHC

Locations

1015 N 18th St
Centerville, IA 52544
Phone (641) 684-6896

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1447597844",
    "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": "1015 N 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441170",
            "telephone_number": "641-856-4400",
            "fax_number": "641-856-4144"
        }
    ],
    "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": "2013-01-07",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.