Organization
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Active
Parent organization
COMMUNITY HEALTH CENTER OF FORT DODGE INC.
Other names
Community Health Center of Dayton
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
24 S MAIN ST, DAYTON, IA 50530
(515) 547-2974
(515) 547-2976
Mailing address
24 S MAIN ST, DAYTON, IA 50530-7698
(515) 576-6500
(515) 576-1951
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
03/01/2023
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