NPIMap

Organization Active NPI

Unity Healthcare

Doing business as Unitypoint Clinic - Mulberry

  • Rural Health Clinic/Center
  • Muscatine, IA
National Provider Identifier
1447802400
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNITY HEALTHCARE
Doing business as
Unitypoint Clinic - Mulberry
Practice address
1518 Mulberry Ave
Ste 101 & 102
Muscatine, IA 52761-3433
Phone
(563) 262-4111
Fax
(563) 264-0263
NPI assigned
Jul 10, 2019
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITY HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Shawn Morrow
Title
President
Phone
(309) 779-2200

Specialties & licenses 1

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

Addresses

Primary practice location

1518 Mulberry Ave
Ste 101 & 102
Muscatine, IA 52761-3433

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100

Other names 1

  • UNITYPOINT CLINIC - MULBERRY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191106000532 IA Part A Provider - Rural Health Clinic 8224931548 Practice locations: Muscatine, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447802400. Details of each certification follow.

Rural health clinic certification: CCN 168628

Legal name
UNITY HEALTHCARE
Doing business as
UNITYPOINT CLINIC - MULBERRY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 8, 2019
Last certification
Mar 3, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
1518 Mulberry Ave
Ste 101&102
Muscatine, IA 52761-3433
Related CCNs
160013

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

Other NPIs with the same Medicare PAC ID 6

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
16D0976550Unitypoint Clinic - Mulberry - Surgery1518 Mulberry Avenue, Suite 102, Muscatine, IA 52761Certificate of waiverAug 7, 2026
16D2122436Unitypoint Clinic - Mulberry - Internal Medicine1518 Mulberry Avenue, Suite 101, Muscatine, IA 52761Certificate of waiverNov 28, 2026
16D2124585Unitypoint Clinic OB/GRN-Mulberry1518 Mulberry Avenue, Suite 301, Muscatine, IA 52761Provider-performed microscopyJan 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Muscatine General Hospi10 organizations share this tax ID, including this one
Part of
Muscatine General Hospi

Other organizations with this tax ID 9

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

Locations

1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 101102
Muscatine, IA 52761
Phone (563) 262-4111

1518 Mulberry Ave
Ste 201202
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 202
Muscatine, IA 52761
Phone (563) 262-4115

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
Leonard Keeven Individual Contracted Managing EmployeeVP Medical Director Nov 1, 2020
Operational/Managerial ControlVP Medical Director Nov 1, 2020
Amy Lynn Terrill Individual Contracted Managing EmployeeDirector Clinic Operations May 16, 2022
Operational/Managerial ControlDirector Clinic Operations May 16, 2022
Troy Daniel Fridley Individual Corporate Officer Feb 23, 2023
Corporate Director Jan 26, 2017
Toyosi T Olutade Individual Contracted Managing EmployeeRegional Chief Medical Officer May 11, 2020
Corporate OfficerRegional Chief Medical Officer May 11, 2020
Operational/Managerial ControlRegional Chief Medical Officer May 11, 2020
Scott Kizer Individual Operational/Managerial ControlChain Home Office President/Ceo Oct 9, 2023
Hamid R Sagha Individual Contracted Managing EmployeeMD; Oct 14, 2024
Operational/Managerial ControlRHC Medical Director Oct 14, 2024
Stephanie M Leach Individual W-2 Managing EmployeeRHC Clinic Administrator Dec 8, 2019
Operational/Managerial ControlRHC Clinic Administrator Dec 8, 2019
Trinity Regional Health System Organization, Rock Island, IL Corporation, Non-profit Operational/Managerial Control Jul 1, 2009
Rachel Pohl Individual Corporate Officer Jan 22, 2026
W-2 Managing EmployeeExecutive Director Trinity Muscatin Feb 13, 2022
Operational/Managerial ControlExecutive Director Trinity Muscatin Feb 13, 2022
Elida Garcia Individual W-2 Managing EmployeeRHC Clinic Administrator May 23, 2022
Operational/Managerial ControlRHC Clinic Administrator May 23, 2022
Rhonda J Sowards Individual Contracted Managing EmployeeVP Medical Affairs/Cmo Jan 28, 2021
Corporate OfficerVP Medical Affairs/Cmo Jan 28, 2021
Operational/Managerial ControlVP Medical Affairs/Cmo Jan 28, 2021
Rosalinda Eichelberger Individual Corporate Director Feb 24, 2022
Clint Christopher Individual Corporate Officer Jan 22, 2026
Corporate Director Jan 28, 2021
John Hagerty Individual Corporate Director Jan 22, 2026
Sharon K King Individual Contracted Managing EmployeeInterim President Jan 26, 2026
Corporate DirectorInterim President Jan 26, 2026
Operational/Managerial ControlInterim President Jan 26, 2026
Iowa Health System Organization, West Des Moines, IA Corporation, Non-profit, Chain home office Operational/Managerial Control Jul 1, 2009
Mark Wesley Peterson Individual Corporate Director Jan 26, 2017
Kelly Livingston Individual Corporate Director Jan 22, 2026
Patrick S Walsh Individual Corporate Director Jan 22, 2026
Maria-Teresa Rayo Galoso Individual Corporate Director Aug 27, 2020
James Kent Individual Corporate Officer Jan 22, 2026
Corporate Director Feb 23, 2023
Benjamin J Pohl Individual Corporate Director Jan 28, 2021
Lynsey Krusie Individual Corporate Director Jan 22, 2026
Matthew a McKinney Individual Corporate Director Jan 22, 2026
Matthew S Behrens Individual Contracted Managing EmployeeRegional VP/Clinic Operations Mar 9, 2009
Operational/Managerial ControlRegional VP/Clinic Operations Mar 9, 2009
Heidi Parkhurst Individual Corporate Director Feb 24, 2022
David Dellitt Individual Contracted Managing EmployeeCfo Feb 22, 2024
Corporate OfficerCfo Feb 22, 2024
Operational/Managerial ControlCfo Feb 22, 2024

Owners & managing parties with NPI records 8

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

Facilities with the same owner 65

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

View all 65

Change-of-ownership history 1

DateEventCounterparty
Dec 8, 2019 Change of OwnershipThis provider was the buyer Unitypoint Clinic Family Medicine MulberryCCN 168972, IA, NPI 1306335740

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 124

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 124

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1447802400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9100",
            "fax_number": "563-264-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "address_2": "STE 101 & 102",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4111",
            "fax_number": "563-264-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITY HEALTHCARE",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-779-2200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT CLINIC - MULBERRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.