# PELLA REGIONAL HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PELLA REGIONAL HEALTH CENTER
- **Other names:** Ottumwa Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508101221
- **Legal business name:** PELLA REGIONAL HEALTH CENTER
- **Authorized official:** ROBERT D. KROESE (CEO)
- **Authorized official phone:** (641) 628-6604

## Contact information

- **Practice address:** 920 N QUINCY AVE, OTTUMWA, IA 52501-3866
- **Practice address phone:** (641) 455-5200
- **Practice address fax:** (641) 455-5150
- **Mailing address:** 920 N QUINCY AVE, OTTUMWA, IA 52501-3866
- **Mailing address phone:** (641) 455-5200
- **Mailing address fax:** (641) 455-5150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 630165H | IA | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 12/06/2022