NPIMap

Organization Active NPI

River Hills Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairfield, IA
National Provider Identifier
1568016970
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.
Doing business as
RHCHC Fairfield High School
Practice address
605 E Broadway Ave
Fairfield, IA 52556-2900
Phone
(641) 683-5773
NPI assigned
Jul 25, 2019
Organization subpart
No

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
Revenue Cycle Director
Phone
(641) 684-6896

Specialties & licenses 1

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

Addresses

Primary practice location

605 E Broadway Ave
Fairfield, IA 52556-2900

Mailing address

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

Other names 1

  • RHCHC Fairfield High School Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 161886

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
RHCHC FAIRFIELD HIGH SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 29, 2019
Last certification
Aug 29, 2019
Ownership / control type
For profit – corporation
Facility address
605 E Broadway Ave
Fairfield, IA 52556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1568016970",
    "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": "605 E BROADWAY AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562900",
            "telephone_number": "641-683-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "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": "REVENUE CYCLE DIRECTOR",
        "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": [
        {
            "organization_name": "RHCHC Fairfield High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.