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OTTUMWA PRIMARY CARE CLINIC
NPI 1639861990
Clinic/Center - Rural Health in Ottumwa, IA

Active since May 24, 2023CLIA 16D2046963 · Waiver
1009 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 683-6868(641) 683-6869 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, May 24, 2023 (2 updates tracked since 2023).

About Ottumwa Primary Care Clinic NPPES

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

OTTUMWA PRIMARY CARE CLINIC (NPI 1639861990) is a healthcare organization registered as a rural health in Ottumwa, Iowa and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1639861990
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameOTTUMWA HEALTH GROUP LLC
Location Address1009 PENNSYLVANIA AVEOttumwa, IA 52501-2108
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(641) 683-6868
Fax(641) 683-6869
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateMay 24, 2023
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1639861990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1009 PENNSYLVANIA AVE, Ottumwa, IA 52501
Open in Google Maps ↗

Other Names 1

Doing Business AsOttumwa Primary Care 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 Waiver 16D2046963

Ottumwa Health Group, LLC Dba Ottumwa Primary Care · Ottumwa, IA
Active · expires Sep 13, 2026
CLIA Number16D2046963
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorJennifer Townsend
Laboratory Phone(641) 683-6868
Laboratory LocationOttumwa Health Group, LLC Dba Ottumwa Primary Care1009 Pennsylvania Avenue, Ottumwa, IA 52501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. JAYCI MICHELLE BEAMER ARNP
Nurse Practitioner (Family)
1009 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Wapello County (641) 683-4300
DR. CASE CALVIN EVERETT MD
Family Medicine
1009 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Wapello County (416) 836-6868
WENDY CHRISTINE FAHLGREN L.M.S.W.
Social Worker
1009 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Wapello County (641) 683-4300
MRS. ROSALEE ANN RUSSELL ARNP
Nurse Practitioner (Family)
1009 PENNSYLVANIA AVE, VA CLINIC
OTTUMWA, IA 52501
Wapello County (641) 683-4300
OMAHA VAMC
Clinic/Center (VA)
1009 PENNSYLVANIA AVE
OTTUMWA, IA 52501
Wapello County (913) 578-4409

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 Ottumwa Health Group LLC's NPI number?

The NPI number for Ottumwa Health Group LLC is 1639861990. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is doing business as Ottumwa Primary Care Clinic.

Where is Ottumwa Health Group LLC located?

Ottumwa Health Group LLC is located at 1009 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 683-6868.

What is Ottumwa Health Group LLC's specialty?

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

Does Ottumwa Health Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2046963) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ottumwa Health Group LLC 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 and 1 other insurer list Ottumwa Health Group LLC 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 Ottumwa Health Group LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.