Organization
INFINITY HEALTH
Active
Organization
INFINITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA CANNON (CEO)
(641) 446-2383
Entity
Organization
Contact information
Practice address
117 S MAIN ST, ALBIA, IA 52531-2013
(641) 932-2065
(641) 932-2365
Mailing address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
IA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762708
—
IA
01
—
39014
WELLMARK BLUE CROSS/BLUE SHIELD
—
05
—
505475103
—
MO
Enumeration date
04/17/2007
Last updated
02/11/2022
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