MEDICARE: RIVER HILLS COMMUNITY HEALTH CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1033931787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER HILLS COMMUNITY HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 458
Second Line	:
City	:	OTTUMWA
State	:	IA
Zip	:	52501-0458
Country	:	US
Telephone Number	:	641-684-6896
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 E LOCUST ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1707
Country	:	US
Telephone Number	:	641-683-5773
Fax Number	:	641-226-5759

Authorized Official
Title or Position	:	REVENUE CYCLE DIRECTOR
Name	:	KIM GROVE
Credential	:
Telephone Number	:	641-684-6896

Provider Enumeration Date	:	10/24/2024
Last Update Date	:	10/24/2024

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