Organization
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF FORT DODGE INC
Other names
Community Health Center of Mason City
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
404 N FEDERAL AVE, MASON CITY, IA 50401-3214
(641) 450-0601
(641) 450-0612
Mailing address
126 N 10TH ST, FORT DODGE, IA 50501-3915
(515) 576-6500
(515) 576-2021
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QF0400X
IA
Other
Enumeration date
04/03/2018
Last updated
03/01/2023
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