Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Active
Parent organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Authorized official
ANTONIO FLORES CEO (CEO)
(319) 768-5858
Entity
Organization
Contact information
Practice address
1223 S GEAR AVE STE 108, WEST BURLINGTON, IA 52655-1685
(319) 753-5177
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 753-2301
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
01/25/2023
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