Community Health Centers Of Southeastern Iowa, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in West Burlington, IA. Organization (NPI-2).
NPI number1164023255
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1164023255
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Centers Of Southeastern Iowa, INC
- Organization subpart
- Yes
- Enumeration date
- Nov 4, 2020
- Certification date
- Jan 25, 2023
- Last updated
- Jan 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
1223 S Gear Ave Ste 108West Burlington, IA 52655-1685
Phone 319-753-5177
Mailing address
1706 W Agency RdWest Burlington, IA 52655-1667
Phone 319-768-5858 · Fax 319-753-2301
Authorized official
Antonio Flores
Ceo
3197685858
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