Organization
INFINITY HEALTH
Active
Parent organization
INFINITY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
INFINITY HEALTH
Authorized official
SAMANTHA CANNON (CEO)
(641) 446-2383
Entity
Organization
Contact information
Practice address
606 W MAIN ST, PRINCETON, MO 64673-1140
(660) 748-3022
(515) 608-4592
Mailing address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462887
—
IA
05
—
507202208
—
MO
Enumeration date
04/11/2018
Last updated
02/11/2022
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