JCHC RICHLAND CLINIC
NPI 1881294536
Clinic/Center - Rural Health in Richland, IA

Active since October 30, 2020CLIA 16D2222107 · Waiver
107 W HARRISON ST, RICHLAND, IA 52585(641) 469-4309(641) 469-4440 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2020, Oct 30, 2020 (2 updates tracked since 2020).

About Jchc Richland Clinic NPPES

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

JCHC RICHLAND CLINIC (NPI 1881294536) is a healthcare organization registered as a rural health in Richland, Iowa and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Larry Dale Peach, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881294536
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJEFFERSON COUNTY HOSPITAL
Location Address107 W HARRISON STRichland, IA 52585-9549
Mailing Address2000 S Main StFairfield, IA 52556-9572 · (641) 469-4309
Fax(641) 469-4440
Organization SubpartNo
Authorized OfficialLarry Dale PeachCfo · (641) 469-4304
Enumeration DateOctober 30, 2020
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1881294536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
107 W HARRISON ST, Richland, IA 52585

Other Names 1

Doing Business AsJchc Richland Clinic

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jchc Richland Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Jchc Richland Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner23
Emergency Medicine17
Family Practice14
Certified Registered Nurse Anesthetist (CRNA)10
Internal Medicine4
Hospitalist2
Orthopedic Surgery2
General Surgery1
5 other specialties5

Nearest to this location (20)

See all 78
Nurse Practitioner
NPI 1659245785
207 W HARRISON ST
Richland, IA 52585
(641) 919-2857
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1568894731
2000C SOUTH MAIN
Fairfield, IA 52556
(641) 472-4141
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1952794661
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-4156
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1891318564
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-4111
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1841308533
2000 SOUTH MAIN STREET STE C
Fairfield, IA 52556
(641) 472-4141
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1548619356
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-4111
✔ PECOS✔ Accepts Medicare14 mi
Orthopedic Surgery
NPI 1083891675
2000 S MAIN
Fairfield, IA 52556
(641) 469-4204
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1396083531
2000C S MAIN ST
Fairfield, IA 52556
(641) 472-4141
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1912155946
2000B S MAIN ST
Fairfield, IA 52557
(641) 472-4156
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1265960884
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-4156
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1891803508
2000 SOUTH MAIN STREET STE C
Fairfield, IA 52556
(641) 472-4141
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1316338593
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-9111
✔ PECOS✔ Accepts Medicare14 mi
Medical Oncology
NPI 1619162435
2000 S MAIN ST MCCREERY CANCER CENTER
Fairfield, IA 52556
(641) 472-4111
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1770711939
2000 S MAIN ST
Fairfield, IA 52556
(641) 472-4111
✔ PECOS✔ Accepts Medicare14 mi
Emergency Medicine
NPI 1205086337
400 E POLK ST
Washington, IA 52353
(319) 550-5118
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1033095435
1001 E PENNSYLVANIA AVENUE
Ottumwa, IA 52501
(641) 684-2300
✔ PECOS✔ Accepts Medicare23 mi
Family Practice
NPI 1487229795
1001 PENNSYLVANIA AVE
Ottumwa, IA 52501
(641) 684-2300
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1346236940
1005 PENNSYLVANIA AVE
Ottumwa, IA 52501
(641) 684-2927
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1588324461
740 PENNSYLVANIA AVE
Ottumwa, IA 52501
(641) 683-6000
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1164192290
301 W 2ND ST STE 2
Ottumwa, IA 52501
(641) 684-8448
✔ PECOS✔ Accepts Medicare25 mi
See all 78 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 16D2222107

Jchc Richland Clinic · Richland, IA
Active · expires Apr 26, 2027
CLIA Number16D2222107
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorSebastian M. Harris
Laboratory Phone(319) 456-2058
Laboratory LocationJchc Richland Clinic107 W Harrison PO Box 336, Richland, IA 52585
CLIA data matches this NPI record on: Name
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 Jefferson County Hospital's NPI number?

The NPI number for Jefferson County Hospital is 1881294536. It was assigned to this organization in the NPPES registry on October 30, 2020. The provider is doing business as Jchc Richland Clinic.

Where is Jefferson County Hospital located?

Jefferson County Hospital is located at 107 W Harrison St, Richland, IA 52585. The listed phone number is (641) 469-4309.

What is Jefferson County Hospital's specialty?

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

Is Jefferson County Hospital enrolled in Medicare?

Yes. Jefferson County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 13 Medicare specialties reassign their Medicare billing to Jefferson County Hospital. 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 (23), Emergency Medicine (17) and Family Practice (14). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jefferson County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2222107) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson County Hospital was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.