Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO FLORES CEO (CEO)
(319) 768-5858
Entity
Organization
Contact information
Practice address
1706 WEST AGENCY ROAD, WEST BURLINGTON, IA 52655
(319) 768-5858
(319) 752-4653
Mailing address
1706 WEST AGENCY ROAD, WEST BURLINGTON, IA 52655
(319) 768-5858
(319) 752-4653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35097
IA
207R00000X
Internal Medicine Physician
37355
IA
208000000X
Pediatrics Physician
17758
IA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
000671
IA
363L00000X
Nurse Practitioner
A045847
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288175
—
IA
01
—
35732
BC/BS OF IOWA
IA
05
—
506089432
—
MO
Enumeration date
07/08/2005
Last updated
01/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us