Community Health Center of Fort Dodge, Inc.

NPI #1376351841 in Spencer, Iowa

Provider Information

NPI Number
1376351841
Entity Type
Organization
Organization Name
Community Health Center of Fort Dodge, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 30, 2024
Last Updated
Dec 30, 2024

Practice Location

Address
223 W 7TH ST
State
Iowa
ZIP Code
51301-3704
Phone
(515) 576-6500

Authorized Official

Name
RENAE IRENE ELIZABETH KRUCKENBERG
Title
CEO
Phone
(515) 576-6500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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