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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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