Organization
UNITED COMMUNITY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEA LYNN SEAGREN RN MHA (EXECUTIVE DIRECTOR)
(712) 213-0109
Entity
Organization
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0109
(712) 213-0186
Mailing address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0109
(712) 213-0186
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488296
—
IA
Enumeration date
05/05/2006
Last updated
11/01/2009
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