Council Bluffs Community Health Center

LBN: Council Bluffs Community Health Center
Council Bluffs Community Health Center is an health care organization with primary practice located at 2700 College Rd A104, Council Bluffs IA 51503-1057. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Council Bluffs Community Health Center can be contacted via phone (712) 325-3351, or through Brunow, Gerri L via phone (712) 256-6577.

Contact Information

Primary practice address
2700 College Rd A104 Council Bluffs IA 51503-1057
Phone: (712) 325-3351
Fax: (712) 325-3739
Website:
Map and Directions
Authorized official contact:
Name: Brunow, Gerri L CPC
Phone: (712) 256-6577

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1982895942
LBN Legal business name Council Bluffs Community Health Center
DBA Doing business as
Authorized official Brunow, Gerri L CPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Apr 20th, 2008 - about 16 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 1982895942 NPPES
Other 16D0949735 CLIA
MEDICAID 0188946 CLIA

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