National Provider Identifier Database

COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
345 POLK ST
WARSAW, IL62379-1033
Phone: 217-256-3013
Fax: 319-753-2301
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC

NPI Number 1295705622
Legal business name
LBN
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Authorized official APRIL SCHNEDLER - (LEAD BILLING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 01/26/2006
Last updated 10/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0563882
  • MO Medicaid: 506089424
  • IL Other: 3422957 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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