OTTUMWA MEDICAL CLINIC
NPI 1508101221
Clinic/Center - Rural Health in Ottumwa, IA

Q: What is Pella Regional Health Center's NPI number?

The NPI number for Pella Regional Health Center is 1508101221. It was assigned to this organization in the NPPES registry on December 6, 2012. The provider is doing business as Ottumwa Medical Clinic.

Q: 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.

Active since December 06, 2012CLIA 16D2043757 · Certificate of Compliance

920 N QUINCY AVE, OTTUMWA, IA 52501(641) 455-5200(641) 455-5150 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2022, Mar 16, 2017 (2 updates tracked since 2017).

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About Ottumwa Medical Clinic NPPES

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

OTTUMWA MEDICAL CLINIC (NPI 1508101221) is a healthcare organization registered as a rural health in Ottumwa, Iowa and active in the NPI registry since December 2012. The organization holds a CLIA Certificate of Compliance certificate valid through December 3, 2027 and lists Robert D. Kroese, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508101221

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePELLA REGIONAL HEALTH CENTER

Location Address920 N QUINCY AVEOttumwa, IA 52501-3866

Mailing Address920 N Quincy AveOttumwa, IA 52501-3866 · (641) 455-5200 · Fax (641) 455-5150

Phone(641) 455-5200

Fax(641) 455-5150

Organization SubpartYes

Authorized OfficialRobert D. KroeseCeo · (641) 628-6604

Enumeration DateDecember 6, 2012

Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1508101221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in IA · 630165H

920 N QUINCY AVE, Ottumwa, IA 52501

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Other Names 1

Doing Business AsOttumwa Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 Compliance 16D2043757

Pella Regional Health Center Ottumwa Medical Clinic · Ottumwa, IA

Active · expires Dec 3, 2027

CLIA Number16D2043757

Laboratory TypeRural Health Clinic

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorLucas Mihalovich

Laboratory Phone(641) 455-5200

Laboratory LocationPella Regional Health Center Ottumwa Medical Clinic920 North Quincy Avenue, Ottumwa, IA 52501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHELLY ANN EDWARDS ARNP

Nurse Practitioner (Family)