Organization
OLATHE COMMUNITY CLINIC INC
Active
Other names
River Valley Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE HOTSENPILLER (COO)
(970) 323-6141
Entity
Organization
Contact information
Practice address
308 MAIN STREET, OLATHE, CO 81425
(970) 323-6141
(855) 299-8071
Mailing address
PO BOX 529, OLATHE, CO 81425-0529
(970) 323-6141
(855) 299-8071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061930
MEDICARE A PTAN
CO
01
—
294943
MEDICARE B PTAN
CO
01
—
617703000
DEPT OF LABOR, OLATHE ONLY
CO
01
—
619803300
DEPT OF LABOR, MONTROSE ONLY
CO
01
—
DU5283
RAILROAD WORKERS MEDICARE
CO
05
—
OLATHE ONLY: 9890527
—
CO
Enumeration date
09/25/2012
Last updated
03/18/2025
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