THE EDDYVILLE CLINIC
NPI 1962023663
Clinic/Center - Rural Health in Eddyville, IA

Active since May 04, 2020CLIA 16D0977193 · Waiver
107 N 3RD ST, EDDYVILLE, IA 52553(641) 969-5212 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, May 4, 2020 (2 updates tracked since 2020).

About The Eddyville Clinic NPPES

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

THE EDDYVILLE CLINIC (NPI 1962023663) is a healthcare organization registered as a rural health in Eddyville, Iowa and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1962023663
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameOTTUMWA HEALTH GROUP LLC
Location Address107 N 3RD STEddyville, IA 52553-7709
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateMay 4, 2020
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1962023663 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 N 3RD ST, Eddyville, IA 52553

Other Names 1

Doing Business AsThe Eddyville Clinic

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 16D0977193

Ottumwa Health Group, LLC Dba The Eddyville Clinic · Eddyville, IA
Active · expires Aug 21, 2026
CLIA Number16D0977193
Laboratory TypePractitioner Other
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorJennifer Townsend
Laboratory Phone(641) 969-5212
Laboratory LocationOttumwa Health Group, LLC Dba The Eddyville Clinic107 North Third Street PO Box 576, Eddyville, IA 52553
CLIA data matches this NPI record on: Name Phone
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 Ottumwa Health Group LLC's NPI number?

The NPI number for Ottumwa Health Group LLC is 1962023663. It was assigned to this organization in the NPPES registry on May 4, 2020. The provider is doing business as The Eddyville Clinic.

Where is Ottumwa Health Group LLC located?

Ottumwa Health Group LLC is located at 107 N 3rd St, Eddyville, IA 52553. The listed phone number is (641) 969-5212.

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 16D0977193) is associated with this NPI, valid through August 21, 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 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.