| Community Health Centers Of Southeastern Iowa Inc | |
|
2409 Spring St Columbus City IA 52737-9302 | |
| (319) 728-7400 | |
| (319) 753-2301 |
| Full Name | Community Health Centers Of Southeastern Iowa Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2409 Spring St, Columbus City, Iowa |
| Authorized Official Name and Position | Antonio Flores (CEO) |
| Authorized Official Contact | 3197585858 |
| 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 2409 Spring St Columbus City IA 52737-9302 Ph: (319) 728-7400 |
| NPI Number | 1265618805 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4486562527 |
|---|---|
| Medicare Enrollment ID | O20080215000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265618805 | NPI | - | NPPES |
| 1265618805 | Medicaid | IA | |
| 35732 | Other | IA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |