National Provider Identifier Database

COMMUNITY HEALTH CENTER OF FORT DODGE INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
126 N 10TH ST
FORT DODGE, IA50501-3915
Phone: 515-576-6500
Fax: 515-576-1951
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CENTER OF FORT DODGE, INC.

NPI Number 1881766400
Legal business name
LBN
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Authorized official RENAE KRUCKENBERG - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/15/2006
Last updated 02/04/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 1300
  • IA Medicaid: 0490383
  • Other: 1622869 OTHER ID NUMBER-COMMERCIAL NUMBER

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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