Unity Healthcare
Organization Active NPI Rural Health Clinic/Center · Muscatine, IA
NPI 1447802400 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1447802400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- UNITY HEALTHCARE
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- UNITY HEALTHCARE
Authorized official
- Name
- Shawn Morrow
- Title
- President
- Phone
- (309) 779-2200
Owners & managing parties with NPI records 8
-
Maria-Teresa Galoso, M.D.
-
Matthew Anthony McKinney, D.O.
-
Benjamin J Pohl, PA-C
-
Toyosi Olutade, MD
-
Hamid Sagha, MD
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 9
Related certifications (CCN) 1
Change of ownership 1
Facilities with the same owner 65
Practitioners 132
-
Sarah Elizabeth Alpen, PA-C
-
Brian Allen Belitz, ARNP
-
Emma Marie Clarke, PA-C
-
Peggy Diane Creamer, ARNP
-
Rachel Creamer, ARNP
-
Ceren Durer, MD
-
Ryan Taylor Eyberg, CRNA
-
Shannon Marie Goss, ARNP
-
Kathryn M Hoppe, APRN
-
Megan Keppy, PA
-
Michael Dean Mack, D.O.
-
Allison Mann, PA-C
-
Matthew Anthony McKinney, D.O.
-
Jennifer Meyer, A.R.N.P F.N.P
-
Nathan Mohr, MD
-
Lindsay K Petersen, ARNP
-
Benjamin J Pohl, PA-C
-
Desiree R Price, DNP, AGNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0976550 | Unitypoint Clinic - Mulberry - Surgery | Certificate of waiver | Aug 7, 2026 |
| 16D2122436 | Unitypoint Clinic - Mulberry - Internal Medicine | Certificate of waiver | Nov 28, 2026 |
| 16D2124585 | Unitypoint Clinic OB/GRN-Mulberry | Provider-performed microscopy | Jan 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
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
- Corporation · Non-profit
- Enrollment address
- 1518 Mulberry Ave
Ste 101&102
Muscatine, IA 52761-3433 - Related CCNs
- 160013
All disclosed owners & managing parties 27
| Name | Role | Since | Share |
|---|---|---|---|
| Leonard Keeven |
Contracted Managing Employee |
Nov 1, 2020 | |
| Operational/Managerial Control |
Nov 1, 2020 | ||
| Amy Lynn Terrill |
Contracted Managing Employee |
May 16, 2022 | |
| Operational/Managerial Control |
May 16, 2022 | ||
| Troy Daniel Fridley |
Corporate Officer | Feb 23, 2023 | |
| Corporate Director | Jan 26, 2017 | ||
| Toyosi T Olutade |
Contracted Managing Employee |
May 11, 2020 | |
| Corporate Officer |
May 11, 2020 | ||
| Operational/Managerial Control |
May 11, 2020 | ||
| Scott Kizer |
Operational/Managerial Control |
Oct 9, 2023 | |
| Hamid R Sagha |
Contracted Managing Employee |
Oct 14, 2024 | |
| Operational/Managerial Control |
Oct 14, 2024 | ||
| Stephanie M Leach |
W-2 Managing Employee |
Dec 8, 2019 | |
| Operational/Managerial Control |
Dec 8, 2019 | ||
| Trinity Regional Health System |
Operational/Managerial Control | Jul 1, 2009 | |
| Rachel Pohl |
Corporate Officer | Jan 22, 2026 | |
| W-2 Managing Employee |
Feb 13, 2022 | ||
| Operational/Managerial Control |
Feb 13, 2022 | ||
| Elida Garcia |
W-2 Managing Employee |
May 23, 2022 | |
| Operational/Managerial Control |
May 23, 2022 | ||
| Rhonda J Sowards |
Contracted Managing Employee |
Jan 28, 2021 | |
| Corporate Officer |
Jan 28, 2021 | ||
| Operational/Managerial Control |
Jan 28, 2021 | ||
| Rosalinda Eichelberger |
Corporate Director | Feb 24, 2022 | |
| Clint Christopher |
Corporate Officer | Jan 22, 2026 | |
| Corporate Director | Jan 28, 2021 | ||
| John Hagerty |
Corporate Director | Jan 22, 2026 | |
| Sharon K King |
Contracted Managing Employee |
Jan 26, 2026 | |
| Corporate Director |
Jan 26, 2026 | ||
| Operational/Managerial Control |
Jan 26, 2026 | ||
| Iowa Health System |
Operational/Managerial Control | Jul 1, 2009 | |
| Mark Wesley Peterson |
Corporate Director | Jan 26, 2017 | |
| Kelly Livingston |
Corporate Director | Jan 22, 2026 | |
| Patrick S Walsh |
Corporate Director | Jan 22, 2026 | |
| Maria-Teresa Rayo Galoso |
Corporate Director | Aug 27, 2020 | |
| James Kent |
Corporate Officer | Jan 22, 2026 | |
| Corporate Director | Feb 23, 2023 | ||
| Benjamin J Pohl |
Corporate Director | Jan 28, 2021 | |
| Lynsey Krusie |
Corporate Director | Jan 22, 2026 | |
| Matthew a McKinney |
Corporate Director | Jan 22, 2026 | |
| Matthew S Behrens |
Contracted Managing Employee |
Mar 9, 2009 | |
| Operational/Managerial Control |
Mar 9, 2009 | ||
| Heidi Parkhurst |
Corporate Director | Feb 24, 2022 | |
| David Dellitt |
Contracted Managing Employee |
Feb 22, 2024 | |
| Corporate Officer |
Feb 22, 2024 | ||
| Operational/Managerial Control |
Feb 22, 2024 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Dec 8, 2019 | Change of Ownership |
Unitypoint Clinic Family Medicine Mulberry |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191106000532 | IA | Part a Provider - Rural Health Clinic | 8224931548 | Practice locations: Muscatine, IA |
National Provider Directory
- Tax ID family
- Muscatine General Hospi
- Part of
- Muscatine General Hospi
Locations
1518 Mulberry Ave
Ste 201202
Muscatine, IA 52761
Phone (563) 262-4110
1518 Mulberry Ave
Ste 101102
Muscatine, IA 52761
Phone (563) 262-4111
1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110
1514 Mulberry Ave
Muscatine, IA 52761
Phone (319) 264-3220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- UNITYPOINT CLINIC - MULBERRY
Other providers in Muscatine, IA
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
- Unity Healthcare
All providers in Muscatine, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.