Community Health Center of Fort Dodge, Inc.

NPI #1689087215 in Dayton, Iowa

Provider Information

NPI Number
1689087215
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
Jun 11, 2014
Last Updated
Mar 1, 2023

Practice Location

Address
24 S MAIN ST
City
Dayton
State
Iowa
ZIP Code
50530
Phone
(515) 547-2974

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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