Community Health Center of Fort Dodge, Inc.
NPI #1801596325 in Eagle Grove, Iowa
Provider Information
- NPI Number
- 1801596325
- 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
- Mar 3, 2023
- Last Updated
- Mar 3, 2023
Practice Location
- Address
- 306 W BROADWAY ST
- City
- Eagle Grove
- State
- Iowa
- ZIP Code
- 50533-1712
- 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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