OLATHE COMMUNITY CLINIC INC (NPI# 1558886218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558886218 |
| Entity Type | Organization |
| Organization Name | OLATHE COMMUNITY CLINIC INC |
| Other Organization Name | RIVER VALLEY FAMILY HEALTH CENTER |
| Practice Address |
107 W 11th St Delta CO 81416 |
| Mailing Address |
Po Box 529 Olathe CO 81425-0529 |
| Practice Telephone | 9708748981 |
| Practice Fax Number | 8552997586 |
| Mailing Telephone | 9703236141 |
| Mailing Fax Number | 8552997586 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | KAYE HOTSENPILLER (COO) |
| Authorized Official Telephone | 9703236141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| River Valley Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770834244 | Olathe Community Clinic Inc | Family Medicine | 308 Main Street, Olathe, CO 81425 | 2012-09-25 |
| Street Address |
107 W 11TH ST |
| City | DELTA |
| State | CO |
| Zip Code | 81416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992728919 | Kevin Z Dawson | Dentist | 107 W 11th St, Delta, CO 81416-1811 | 2006-07-25 |
| 1528667359 | Midwestern Colorado Mental Health Center | Clinic/Center | 107 W 11th St, Delta, CO 81416-1811 | 2020-10-22 |
| 1578122867 | Helen Rain Timbreza | Social Worker | 107 W 11th St, Delta, CO 81416-1811 | 2019-06-10 |
| 1437717881 | Midwestern Colorado Mental Health Center | Clinic/Center | 107 W 11th St, Delta, CO 81416-1811 | 2019-05-31 |
| 1952808743 | Rachel M Bates | Counselor | 107 W 11th St, Delta, CO 81416-1811 | 2018-04-09 |
| 1437650496 | Andrew B Henderson | Counselor | 107 W 11th St, Delta, CO 81416-1811 | 2018-02-26 |
| 1134639842 | Marjorie Clewett Von Ronne | Counselor | 107 W 11th St, Delta, CO 81416 | 2017-10-07 |
| 1215474713 | Daniel Romney Swain | Physician Assistant | 107 W 11th St, Delta, CO 81416-1811 | 2017-01-23 |
| 1699210724 | Lyn Kathryn Lawhead | Social Worker | 107 W 11th St, Delta, CO 81416-1811 | 2016-12-28 |
| 1306215629 | Deborah B Elliott | Counselor | 107 W 11th St, Delta, CO 81416-1811 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124687553 | Integrated Insight Therapy, LLC | Counselor | 250 1/2 Main Street, Delta, CO 81416 | 2019-06-10 |
| 1629588538 | Joel L Watts | Counselor | 250.5 Main Street, Delta, CO 81416 | 2017-10-05 |
| 1578968020 | Susan M Simianer | Counselor | 555 Meeker, Delta County Memorial Hospital Family Medicine, Delta, CO 81416 | 2014-10-27 |
| 1609111533 | Heather Marie Tietz | Occupational Therapy Assistant | 2050 S. Main Street, Delta, CO 81416 | 2012-12-04 |
| 1124393723 | Alpine Optical of Western Colorado LLC | Eyewear Supplier (Equipment, not the service) | 1424 Mesa View Dr, Delta, CO 81416 | 2012-03-14 |
| 1952618647 | Jacklyn Jane Robirds | Counselor | 423 Palmer St., Delta, CO 81416 | 2010-09-02 |
| 1265748099 | Karen L. Wolfram | Counselor | 115 Grand Ave, Suite 2, Delta, CO 81416 | 2010-08-31 |
| 1386887305 | Betsy A Nordstrom | Counselor | 795 1600 Rd, Delta, CO 81416 | 2009-04-07 |
| 1962640631 | Lois Paula Anders | Counselor | 53057 Carnation Rd, Lois P. Anders, Delta, CO 81416 | 2009-02-03 |
| 1013103373 | Kieca Md Pllc | Clinic/Center | 2050 South Main, Unit B, Delta, CO 81416 | 2007-09-20 |
| Find all providers in zip 81416 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1548897648 | Plan De Salud Del Valle, Inc | Clinic/Center | 709 E Riverview Ave # 201, Fort Morgan, CO 80701-3263 | 2020-03-26 |
| 1093345886 | Marillac Clinic, Inc. | Clinic/Center | 550 Warrior Way, Grand Junction, CO 81504-6401 | 2020-01-21 |
| 1134766553 | Plan De Salud Del Valle, Inc | Clinic/Center | 562 Sable Blvd Ste 100, Aurora, CO 80011-0809 | 2019-12-04 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.