| Community Health Center Of Dayton | |
|
24 S Main St Dayton IA 50530 | |
| (515) 547-2974 | |
| (515) 547-2976 |
| Full Name | Community Health Center Of Dayton |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 S Main St, Dayton, Iowa |
| Authorized Official Name and Position | Renae Irene Elizabeth Kruckenberg (CEO) |
| Authorized Official Contact | 5155766500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Dayton 24 S Main St Dayton IA 50530-7698 Ph: (515) 576-6500 | Community Health Center Of Dayton 24 S Main St Dayton IA 50530 Ph: (515) 547-2974 |
| NPI Number | 1689087215 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 1557378627 |
|---|---|
| Medicare Enrollment ID | O20180820001950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689087215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Van Diest Medical Center Dayton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 S Main St, Dayton, IA 50530 Phone: 515-832-9400 |