NPIMap

Organization Active NPI

Olathe Community Clinic Inc

Doing business as River Valley Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Olathe, CO
National Provider Identifier
1770834244
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OLATHE COMMUNITY CLINIC INC
Doing business as
River Valley Family Health Center
Practice address
308 Main Street
Olathe, CO 81425
Phone
(970) 323-6141
Fax
(855) 299-8071
NPI assigned
Sep 25, 2012
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Kaye Hotsenpiller
Title
Coo
Phone
(970) 323-6141

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

308 Main Street
Olathe, CO 81425

Mailing address

PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141

Other identifiers 6

IdentifierTypeStateIssuer
061930OtherCOMEDICARE A PTAN
617703000OtherCODEPT OF LABOR, OLATHE ONLY
619803300OtherCODEPT OF LABOR, MONTROSE ONLY
294943OtherCOMEDICARE B PTAN
DU5283OtherCORAILROAD WORKERS MEDICARE
OLATHE ONLY: 9890527MedicaidCO

Other names 1

  • River Valley Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130115000033 CO Part A Provider - Federally Qualified Health Center (FQHC) 5395998744 Practice locations: Olathe, CO
O20130806000069 CO Part B Supplier - Clinic/Group Practice 5395998744 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
Practice locations: Delta, CO; Montrose, CO; Olathe, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770834244. Details of each certification follow.

Federally qualified health center certification: CCN 061930

Legal name
OLATHE COMMUNITY CLINIC INC
Doing business as
RIVER VALLEY FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2013
Last certification
Jan 22, 2013
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
May 24, 2011 in CO
Enrollment address
308 Main St
Olathe, CO 81425-0001

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
06D0895553River Valley Family Health Center308 Main Street, Olathe, CO 81425Provider-performed microscopyNov 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Casey Payne Individual Corporate OfficerChief Financial Officer Nov 25, 2019
Operational/Managerial ControlChief Financial Officer Nov 25, 2019
OtherChief Financial Officer Nov 25, 2019
Naomi Willden Individual Corporate DirectorBoard of Directors, Vice-Chair Feb 23, 2022 10%
Kaye L Hotsenpiller Individual Corporate OfficerChief Executive Officer Aug 20, 2018 33%
OtherChief Executive Officer Aug 20, 2018
Penelope Harris Individual Corporate DirectorBoard of Directors, General Member Jul 24, 2024 10%
Penelope Powell Individual Corporate DirectorBoard of Directors, General Member Aug 28, 2024 10%
Kristopher Stewart Individual Corporate DirectorBoard of Directors, General Member Sep 25, 2024 10%
Felicia Velasquez Individual Corporate DirectorBoard of Directors, General Member Nov 19, 2024
Anne Gallegos Individual Corporate DirectorSecretary Nov 16, 2022 10%
Jacqueline Davis Individual Corporate DirectorBoard of Directors, Chair May 24, 2023 10%
Kelsey McCarthy Individual Corporate DirectorBoard of Directors, Treasurer Feb 23, 2022 10%
Richard Taylor Individual Corporate DirectorBoard Member Jan 25, 2023 10%
Ted Moe Individual Corporate DirectorGeneral Board Member Mar 17, 2021 10%
Elisa Rodriguez Individual Corporate DirectorGeneral Board Member Jan 26, 2022 10%
Maria Baltazar Individual Corporate DirectorGeneral Board Member Sep 25, 2024
Angela Fedler Individual Corporate DirectorBoard Member Jan 25, 2023 10%

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1770834244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "814250529",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN STREET",
            "city": "OLATHE",
            "state": "CO",
            "postal_code": "81425",
            "telephone_number": "970-323-6141",
            "fax_number": "855-299-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLATHE COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "HOTSENPILLER",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-323-6141"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A PTAN",
            "identifier": "061930",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR, OLATHE ONLY",
            "identifier": "617703000",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR, MONTROSE ONLY",
            "identifier": "619803300",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN",
            "identifier": "294943",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE",
            "identifier": "DU5283",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OLATHE ONLY: 9890527",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, CO

Sources for this page

Verify at the official NPI Registry.