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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255339750 | NPPES |
Iowa | MEDICAID | 0288175 | |
Iowa | Other | 35732 | |
Iowa | MEDICAID | 506089432 |
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