Community Health Center Of Fort Dodge, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Eagle Grove, Iowa. The current practice location for Community Health Center Of Fort Dodge, Inc. is 306 W Broadway St, Eagle Grove, Iowa. For appointments, you can reach them via phone at
(515) 576-6500. The mailing address for Community Health Center Of Fort Dodge, Inc. is 126 N 10th St, Fort Dodge, Iowa and phone number is (515) 576-6500.
Community Health Center Of Fort Dodge, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1801596325. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(515) 576-6500.
Primary Care Clinic Profile
| Full Name | Community Health Center Of Fort Dodge, Inc. |
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| Speciality | Clinic/Center |
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| Location | 306 W Broadway St, Eagle Grove, Iowa |
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| Authorized Official Name and Position | Renae Irene Elizabeth Kruckenberg (CEO) |
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| Authorized Official Contact | 5155766500 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Community Health Center Of Fort Dodge, Inc.
126 N 10th St
Fort Dodge
IA 50501-3915
Ph: (515) 576-6500 | Community Health Center Of Fort Dodge, Inc.
306 W Broadway St
Eagle Grove
IA 50533-1712
Ph: (515) 576-6500 |
NPI Details:
| NPI Number | 1801596325 |
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| Provider Enumeration Date | 03/03/2023 |
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| Last Update Date | 03/03/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557378627 |
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| Medicare Enrollment ID | O20230612000391 |
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Medical Identifiers
Medical identifiers for Community Health Center Of Fort Dodge, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801596325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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