SULLY FAMILY HEALTH CENTER
NPI 1104860808
Clinic/Center - Rural Health in Sully, IA
About Sully Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SULLY FAMILY HEALTH CENTER (NPI 1104860808) is a healthcare organization registered as a rural health in Sully, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Robert D Kroese, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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 16D0912905
Sully Family Health Center · Sully, IAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pella Regional Health Center's NPI number?
The NPI number for Pella Regional Health Center is 1104860808. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Sully Family Health Center.
Where is Pella Regional Health Center located?
Pella Regional Health Center is located at 704 3rd St, Sully, IA 50251. The listed phone number is (641) 594-3150.
What is Pella Regional Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Pella Regional Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D0912905) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pella Regional Health Center accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Pella Regional Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pella Regional Health Center was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sully Family Health Center · NPI 1104860808
Rural Health organization in Sully, Iowa. Organization record, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1104860808 (Entity type: Organization)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Pella Regional Health Center
- **Organization subpart:** Yes (part of Pella Regional Health Center)
- **Authorized official:** Robert Kroese, CEO
## Practice location
- **Address:** 704 3RD ST, Sully, IA 50251-1016
- **Phone:** (641) 594-3150 · **Fax:** (641) 594-3795
## Record status
- **NPPES last updated:** December 6, 2022
- **Other identifiers:** Medicaid 0634550 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104860808) · Data from the CMS NPPES public registry.