Organization
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Other names
Community Health Center of Spencer
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Authorized official
RENAE IRENE ELIZABETH KRUCKENBERG (CEO)
(515) 576-6500
Entity
Organization
Contact information
Practice address
223 W 7TH ST, SPENCER, IA 51301-3704
(515) 576-6500
(515) 576-1951
Mailing address
126 N 10TH ST, FORT DODGE, IA 50501-3915
(515) 576-6500
(515) 576-1951
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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