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 N 10Th St , Fort Dodge IA 50501-3915. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as 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 N 10Th St Fort Dodge IA 50501-3915
Phone: (515) 576-6500
Fax: (515) 576-1951
Website:
Map and Directions
Authorized official contact:
Name: Kruckenberg, Renae Irene Elizabeth
Phone: (515) 576-6500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 1300 Iowa

Profile Details

NPI number 1881766400
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 Nov 15th, 2006
Last updated Feb 4th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1881766400 NPPES
Other 1622869 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0490383 OTHER ID NUMBER-COMMERCIAL NUMBER

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