Organization
RIVER HILLS COMMUNITY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W. JOHNSON (CEO)
(641) 683-5773
Entity
Organization
Contact information
Practice address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Mailing address
201 S MARKET ST, P.O. BOX 458, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221176
—
IA
01
—
24964
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/24/2006
Last updated
08/06/2020
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