Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Other names
Tri-State Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL K SCHNEDLER (LEAD BILLING COORDINATOR)
(319) 768-5809
Entity
Organization
Contact information
Practice address
1425 MORGAN ST, KEOKUK, IA 52632-4027
(217) 256-3013
(319) 753-2301
Mailing address
1706 WEST AGENCY ROAD, WEST BURLINGTON, IA 52655
(319) 768-5858
(319) 753-2301
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786558
—
IA
01
—
33624
BLUE CROSS BLUE SHIELD
IA
05
—
506089440
—
MO
Enumeration date
03/28/2006
Last updated
01/11/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up