Organization
COMMUNITY HEALTH CENTER OF SEIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON KEMP (CEO)
(319) 753-2300
Entity
Organization
Contact information
Practice address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 752-5540
(319) 752-4096
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 752-5540
(319) 752-4096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08186
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288191
—
IA
05
—
1005590
—
IL
01
—
33773
IOWA WELLMARK
IA
Enumeration date
10/19/2005
Last updated
03/17/2008
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