CHI HEALTH CLINIC WOODBINE
NPI 1073694774
Clinic/Center - Rural Health in Woodbine, IA

Active since October 18, 2006CLIA 16D0385936 · Waiver
518 LINCOLNWAY ST, WOODBINE, IA 51579(712) 647-2566(712) 647-2964 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2022, Jul 22, 2021, Nov 9, 2015 (3 updates tracked since 2015).

About Chi Health Clinic Woodbine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHI HEALTH CLINIC WOODBINE (NPI 1073694774) is a healthcare organization registered as a rural health in Woodbine, Iowa and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Evert Kuiper, Ceo - Chi Health, as its authorized official.

NPPES Registry Identity

NPI1073694774
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA
Location Address518 LINCOLNWAY STWoodbine, IA 51579-1238
Mailing Address518 Lincolnway StWoodbine, IA 51579-1238 · (712) 647-2566 · Fax (712) 647-2964
Fax(712) 647-2964
Organization SubpartNo
Authorized OfficialEvert KuiperCeo - Chi Health · (402) 343-4420
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1073694774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
518 LINCOLNWAY ST, Woodbine, IA 51579

Other Names 1

Doing Business AsChi Health Clinic Woodbine

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chi Health Clinic Woodbine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20070531000454Part A · Rural Health ClinicDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Chi Health Clinic Woodbine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner19
Family Practice9
Certified Registered Nurse Anesthetist (CRNA)4
Clinical Social Worker3
General Surgery3
Clinical Psychologist1
Emergency Medicine1
Marriage and Family Therapist1
3 other specialties3

Nearest to this location (20)

See all 44
Family Practice
NPI 1407379159
518 LINCOLNWAY ST
Woodbine, IA 51579
(712) 647-2566
✔ PECOSSame address
Nurse Practitioner
NPI 1871446062
118 S 1ST AVE
Logan, IA 51546
(712) 644-3288
✔ PECOS✔ Accepts Medicare7.9 mi
Family Practice
NPI 1548484165
122 W 8TH ST ALEGENT HEALTH
Logan, IA 51546
(712) 644-3288
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1225188220
704 IOWA AVE
Dunlap, IA 51529
(712) 643-2298
✔ PECOS✔ Accepts Medicare9.6 mi
Family Practice
NPI 1861634008
707 IOWA AVE
Dunlap, IA 51529
(712) 643-2298
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1861940249
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1891897997
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS15 mi
Clinical Psychologist
NPI 1427492552
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS15 mi
Nurse Practitioner
NPI 1922736800
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1295230068
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1730246745
809 ELM ST
Missouri Valley, IA 51555
(712) 642-2794
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1689971020
631 N 8TH ST
Missouri Valley, IA 51555
(712) 642-2784
✔ PECOS15 mi
General Surgery
NPI 1346280047
631 N 8TH ST
Missouri Valley, IA 51555
(712) 642-2784
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1962050914
700 S HIGHWAY ST
Oakland, IA 51560
(712) 482-6484
✔ PECOS✔ Accepts Medicare32 mi
General Surgery
NPI 1801237706
800 MERCY DR STE 220
Council Bluffs, IA 51503
(712) 388-2660
✔ PECOS✔ Accepts Medicare33 mi
Family Practice
NPI 1598442477
700 S HIGHWAY ST
Oakland, IA 51560
(712) 482-6484
✔ PECOS34 mi
Emergency Medicine
NPI 1437144961
601 N 30TH ST
Omaha, NE 68131
(402) 449-4590
✔ PECOS✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679964878
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
(402) 559-4081
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1760836332
3517 S 90TH ST
Omaha, NE 68124
(515) 573-3138
✔ PECOS✔ Accepts Medicare40 mi
Otolaryngology
NPI 1639374572
17030 LAKESIDE HILLS PLZ SUITE 204
Omaha, NE 68130
(402) 758-5600
✔ PECOS✔ Accepts Medicare43 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0385936

Chi Health Clinic Woodbine · Woodbine, IA
Active · expires Apr 16, 2028
CLIA Number16D0385936
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorChristy Jackson
Laboratory Phone(712) 647-2566
Laboratory LocationChi Health Clinic Woodbine518 Lincoln Way, Woodbine, IA 51579
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa's NPI number?

The NPI number for Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa is 1073694774. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Chi Health Clinic Woodbine.

Where is Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa located?

Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa is located at 518 Lincolnway St, Woodbine, IA 51579. The listed phone number is (712) 647-2566.

What is Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa enrolled in Medicare?

Yes. Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa is registered in the Medicare PECOS enrollment system.

When is Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Iowa, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 11 Medicare specialties reassign their Medicare billing to Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (19), Family Practice (9) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0385936) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.