| Community Health Centers Of Southern Iowa, Inc | |
|
1504 N Lincoln St Knoxville IA 50138-3427 | |
| (641) 828-6208 | |
| Not Available |
| Full Name | Community Health Centers Of Southern Iowa, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1504 N Lincoln St, Knoxville, Iowa |
| Authorized Official Name and Position | Samantha Cannon (CEO) |
| Authorized Official Contact | 6414462383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of Southern Iowa, Inc 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Community Health Centers Of Southern Iowa, Inc 1504 N Lincoln St Knoxville IA 50138-3427 Ph: (641) 828-6208 |
| NPI Number | 1790364875 |
|---|---|
| Provider Enumeration Date | 04/06/2021 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20210429001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790364875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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