NPIMap

Organization Active NPI

RCHP-Ottumwa, Inc.

Doing business as Collaborative Laboratory Services

  • General Acute Care Hospital
  • Ottumwa, IA
National Provider Identifier
1740526607
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
900055H Issued in IA
Legal business name
RCHP-OTTUMWA, INC.
Doing business as
Collaborative Laboratory Services
Practice address
1005 Pennsylvania Ave
Suite 102
Ottumwa, IA 52501-6413
Phone
(641) 684-4621
NPI assigned
Dec 21, 2012
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RCHP-OTTUMWA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Mr. John M Rutledge
Title
President and Coo
Phone
(615) 227-1415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 900055H IA Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

1005 Pennsylvania Ave
Suite 102
Ottumwa, IA 52501-6413

Mailing address

1005 Pennsylvania Ave
Suite 102
Ottumwa, IA 52501-6413
Phone (641) 684-4621

Other identifiers 1

IdentifierTypeStateIssuer
0600890MedicaidIA

Other names 1

  • Collaborative Laboratory Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCHP-Ottumwa LLC6 organizations share this tax ID, including this one
Part of
RCHP-Ottumwa LLC

Other organizations with this tax ID 5

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

Locations

1005 Pennsylvania Ave
Ste 102
Ottumwa, IA 52501
Phone (641) 684-4621

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6270/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1740526607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 102",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-684-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 102",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-684-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCHP-OTTUMWA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RCHP-OTTUMWA, INC.",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-227-1415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "900055H",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600890",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.