Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO FLORES CEO (CEO)
(319) 768-5858
Entity
Organization
Contact information
Practice address
1618 MAIN ST, KEOKUK, IA 52632-3928
(319) 524-5734
(319) 313-8130
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 313-8398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
42157584
IA
Other
Enumeration date
01/04/2017
Last updated
01/25/2023
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