Organization Active NPI

Ottumwa Regional Health Center, Inc

  • Rehabilitation Hospital Unit
  • Ottumwa, IA
National Provider Identifier
1952465320
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
900055H Issued in IA
Legal business name
OTTUMWA REGIONAL HEALTH CENTER, INC
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 682-7511
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 900055H IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Other identifiers 1

IdentifierTypeStateIssuer
6T089OtherIAIRF BLUE CROSS

National Provider Directory

National Provider Directory

Locations

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1952465320",
    "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": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA REGIONAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IA",
            "license": "900055H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRF BLUE CROSS",
            "identifier": "6T089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2007; 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.