Active NPI
Ottumwa Regional Health Center, Inc
- Psychiatric Hospital Unit
- Ottumwa, IA
National Provider Identifier
1902943970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- OTTUMWA REGIONAL HEALTH CENTER, INC
- Practice address
- 312 E Alta Vista Ave
Ottumwa, IA 52501-1413 - Phone
- (641) 684-3103
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad M Wolbers
- Title
- Interim Ceo
- Phone
- (641) 684-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
312 E Alta Vista Ave
Ottumwa, IA 52501-1413
Mailing address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16S089 | Other | IA | BC MENTAL HEALTH NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 160004
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
- ST JOSEPH HEALTH & REHABILITATION CTR
- Certification status
- Terminated Voluntary: merger or closure, Jul 1, 1987
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 25, 1986
- Beds
- 120
- Ownership / control type
- Church
- Facility address
- 312 E Alta Vista
Ottumwa, IA 52501
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1902943970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E ALTA VISTA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011413",
"telephone_number": "641-684-3103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTUMWA REGIONAL HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "WOLBERS",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "INTERIM CEO",
"authorized_official_telephone_number": "641-684-2300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC MENTAL HEALTH NO",
"identifier": "16S089",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
- Ottumwa Regional Health Center Inc
- Ottumwa Regional Health Center Inc
- Ottumwa Regional Health Center, Inc
- Ottumwa Regional Health Center, Inc
- Ottumwa Regional Health Center, Inc
- Ottumwa Regional Health Center, Inc
- Ottumwa Rehabilitation Specialists PLC
- Nathan D Overturf, D.C.
- Kassandra D Padget, LMSW
- Vicki Sue Palm, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.