BEHAVIORAL HEALTH CENTERS OF SO IA - CENTERVILLE
NPI 1710102132
Clinic/Center - Federally Qualified Health Center (FQHC) in Centerville, IA
About Behavioral Health Centers Of So Ia - Centerville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEHAVIORAL HEALTH CENTERS OF SO IA - CENTERVILLE (NPI 1710102132) is a healthcare organization registered as a federally qualified health center (fqhc) in Centerville, Iowa and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Samantha Cannon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
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)
Behavioral Health Centers Of So Ia - Centerville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Behavioral Health Centers Of So Ia - Centerville, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 26Source: 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 16D1080666
Infinity Health · Centerville, IAFrequently 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 Infinity Health's NPI number?
The NPI number for Infinity Health is 1710102132. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Behavioral Health Centers Of So Ia - Centerville.
Where is Infinity Health located?
Infinity Health is located at 221 E State St, Centerville, IA 52544. The listed phone number is (641) 856-6471.
What is Infinity Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Infinity Health enrolled in Medicare?
Yes. Infinity Health is registered in the Medicare PECOS enrollment system.
When is Infinity Health's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Iowa, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. 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 Infinity Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to Infinity Health. 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 (9), Clinical Social Worker (7) and Mental Health Counselor (6). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Infinity Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D1080666) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Infinity Health accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Infinity Health 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 Infinity Health was last updated on February 11, 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.
# Behavioral Health Centers Of So Ia - Centerville · NPI 1710102132
Federally Qualified Health Center (FQHC) organization in Centerville, Iowa. Organization record, active in the CMS NPPES registry since April 13, 2007.
## Identity
- **NPI:** 1710102132 (Entity type: Organization)
- **Enumerated:** April 13, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Infinity Health
- **Organization subpart:** No
- **Authorized official:** Samantha Cannon, CEO
## Practice location
- **Address:** 221 E STATE ST, Centerville, IA 52544-1813
- **Phone:** (641) 856-6471 · **Fax:** (641) 856-2603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, Iowa, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 26 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (7), Mental Health Counselor (6); 2 practice at this address; [full list](https://npiprofile.com/npi/1710102132/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
- **Other identifiers:** Other 39014; Medicaid 0763805 (IA); Medicaid 507402808 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710102132) · Data from the CMS NPPES public registry.