Active NPI
River Hills Community Health Center Inc
- Federally Qualified Health Center (FQHC)
- Oskaloosa, IA
National Provider Identifier
1780208280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- RIVER HILLS COMMUNITY HEALTH CENTER INC
- Practice address
- 1417 A Ave E Ste 100
Oskaloosa, IA 52577-4280 - Phone
- (641) 673-7537
- Fax
- (641) 673-5235
- NPI assigned
- Jun 1, 2020
- Organization subpart
- Yes
- Parent organization
- RIVER HILLS COMMUNITY HEALTH CENTER INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1417 A Ave E Ste 100
Oskaloosa, IA 52577-4280
Mailing address
PO Box 458
Ottumwa, IA 52501-0458
Phone (641) 684-6896
Other names 1
- RHCHC Mahaska County Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 161892
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 MAHASKA COUNTY CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 4, 2020
- Last certification
- Jun 4, 2020
- Ownership / control type
- For profit – corporation
- Facility address
- 1417 A Ave E, Ste 100
Oskaloosa, IA 52577
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0945916 | River Hills Community Health Center | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider Directory- Part of
- River Hills Community Health Center Inc
Locations
1417 A Ave E
Ste 100
Oskaloosa, IA 52577
Phone (641) 673-7537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590969600000",
"number": "1780208280",
"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": "1417 A AVE E STE 100",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774280",
"telephone_number": "641-673-7537",
"fax_number": "641-673-5235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVER HILLS COMMUNITY HEALTH CENTER INC",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"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 Mahaska County Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.