Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Organization
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO FLORES CEO (CEO)
(319) 758-5858
Entity
Organization
Contact information
Practice address
2409 SPRING ST, COLUMBUS CITY, IA 52737-9302
(319) 728-7400
(319) 753-2301
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265618805
—
IA
01
—
35732
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/14/2008
Last updated
01/25/2023
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