Community Health Center Of Fort Dodge Inc.

LBN: Community Health Center Of Fort Dodge Inc.
Community Health Center Of Fort Dodge Inc. is an health care organization with primary practice located at 126 North 10Th St , Fort Dodge IA 50501-3915. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Center Of Fort Dodge Inc. can be contacted via phone (515) 576-6500, or through Kruckenberg, Renae Irene Elizabeth via phone (515) 576-6500.

Contact Information

Primary practice address
126 North 10Th St Fort Dodge IA 50501-3915
Phone: (515) 576-6500
Fax: (515) 576-2021
Website:
Map and Directions
Authorized official contact:
Name: Kruckenberg, Renae Irene Elizabeth
Phone: (515) 576-6500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Iowa

Profile Details

NPI number 1225083728
LBN Legal business name Community Health Center Of Fort Dodge Inc.
DBA Doing business as
Authorized official Kruckenberg, Renae Irene Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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