| Community Health Centers Of Southeastern Iowa, Inc | |
|
1223 S Gear Ave Ste 108 West Burlington IA 52655-1685 | |
| (319) 753-5177 | |
| Not Available |
| Full Name | Community Health Centers Of Southeastern Iowa, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1223 S Gear Ave Ste 108, West Burlington, Iowa |
| Authorized Official Name and Position | Antonio Flores (CEO) |
| Authorized Official Contact | 3197685858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of Southeastern Iowa, Inc 1706 W Agency Rd West Burlington IA 52655-1667 Ph: (319) 768-5858 | Community Health Centers Of Southeastern Iowa, Inc 1223 S Gear Ave Ste 108 West Burlington IA 52655-1685 Ph: (319) 753-5177 |
| NPI Number | 1164023255 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4486562527 |
|---|---|
| Medicare Enrollment ID | O20230228002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164023255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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