# LUCAS COUNTY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lucas County Health Center Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538466842
- **Authorized official:** LORI JOHNSON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (641) 774-3360

## Contact information

- **Practice address:** 1200 N 7TH ST, CHARITON, IA 50049-1210
- **Practice address phone:** (641) 774-8103
- **Mailing address:** 1200 N 7TH ST, CHARITON, IA 50049-1210
- **Mailing address phone:** (641) 774-8103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 12/16/2020