River Hills Community Health Center Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

RIVER HILLS COMMUNITY HEALTH CENTER INC.

Doing business as

RHCHC Washington Elementary

Practice address

406 E Madison Ave
Fairfield, IA 52556-3645

Phone

(641) 683-5773

NPI assigned

Jul 26, 2019

Last updated

Aug 6, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVER HILLS COMMUNITY HEALTH CENTER INC.As reported in NPPES

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

Addresses

Other names 1

• RHCHC Washington Elementary Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851945000. Details of each certification follow.

• CCN 161883 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 161883

Legal name

RHCHC WASHINGTON ELEMENTARY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 20, 2019

Last certification

Aug 20, 2019

Ownership / control type

For profit – corporation

Facility address

406 E Madison Ave
Fairfield, IA 52556

Part of

River Hills Community Health Center Inc

Practitioners 1

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.

• Lacey Kristine Brooks, LISW

  • Clinical Social Worker
  • Fairfield, IA
  • NPI 1174166342
  NPD

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1851945000",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E MADISON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563645",
            "telephone_number": "641-683-5773"
        }
    ],
    "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": "2019-07-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHCHC Washington Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Dean Richmond, PA-C
• River Hills Community Health Center Inc (RHCHC-Jefferson County Clinic)
• River Hills Community Health Center Inc. (RHCHC Pence School)
• River Hills Community Health Center Inc. (RHCHC Fairfield Middle School)
• River Hills Community Health Center Inc. (RHCHC Fairfield High School)
• Arlene Roberts, LMSW
• Rose Foot Clinic PC
• Richard Anthony Rose, D.P.M.
• Roth & Norton Family Dentistry
• Alex James Roth, DDS

• Federally Qualified Health Center (FQHC) in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Federally Qualified Health Center (FQHC) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.