COMMUNITY HEALTH CENTER OF FORT DODGE, INC.; NPI #1881766400

Contact Information

COMMUNITY HEALTH CENTER OF FORT DODGE, INC.

126 N 10TH ST
FORT DODGE, IA 50501-3915

Phone: 515-576-6500
Fax: 515-576-1951
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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

NPI Number 1881766400

LBN Legal business name COMMUNITY HEALTH CENTER OF FORT DODGE, INC.

Authorized official RENAE KRUCKENBERG - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2006

Last updated 02/04/2022 - About 4 years ago

Identifiers

IA	License #	1300
IA	Medicaid	0490383
	Other	1622869	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMUNITY HEALTH CENTER OF FORT DODGE, INC.

Contact Information

Specialty

Clinic Pharmacy

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

Reviews for COMMUNITY HEALTH CENTER OF FORT DODGE, INC.