Organization · Type 2 NPI
Community Health Centers of Southeastern Iowa Inc
Federally Qualified Health Center (FQHC) · Warsaw, IL
NPI number
1295705622
Active
Practice location
345 Polk St
Warsaw, IL 62379-1033
Fax (319) 753-2301
Mailing address
1706 West Agency Road
West Burlington, IA 52655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1295705622
Community Health Centers of Southeastern Iowa Inc's National Provider Identifier is 1295705622, issued on Jan 26, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Warsaw, IL. The record was last updated on Oct 19, 2010.