Community Health Centers Of Southeastern Iowa Inc

LBN: Community Health Centers Of Southeastern Iowa Inc
Community Health Centers Of Southeastern Iowa Inc is an health care organization with primary practice located at 1706 West Agency Road , West Burlington IA 52655. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Centers Of Southeastern Iowa Inc can be contacted via phone (319) 768-5858, or through Flores, Antonio via phone (319) 768-5858.

Contact Information

Primary practice address
1706 West Agency Road West Burlington IA 52655
Phone: (319) 768-5858
Fax: (319) 752-4653
Website:
Map and Directions
Authorized official contact:
Name: Flores, Antonio CEO
Phone: (319) 768-5858

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35097 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37355 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17758 Iowa
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000671 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A045847 Iowa

Profile Details

NPI number 1255339750
LBN Legal business name Community Health Centers Of Southeastern Iowa Inc
DBA Doing business as
Authorized official Flores, Antonio CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 25th, 2023 - 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 1255339750 NPPES
Iowa MEDICAID 0288175
Iowa Other 35732
Iowa MEDICAID 506089432

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