Organization · Type 2 NPI

Community Health Centers of Southeastern Iowa, Inc

Federally Qualified Health Center (FQHC) · Keokuk, IA

NPI number 1558340968 Active

Practice location

400 N 17th St
Keokuk, IA 52632-3452

Call (319) 524-5734 Map

Fax (319) 524-5758

Mailing address

1706 West Agency Road
West Burlington, IA 52655

Other practice locations

1618 Main St, Keokuk, IA 52632-3928 · (319) 524-5734

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...

10 other providers at this address

Other federally qualified health center (fqhc) providers in Keokuk

See all in Keokuk →

NPI record

NPI: 1558340968
Entity type: Organization (Type 2)
Issued: Jan 13, 2006
Last updated: Jul 15, 2024
Status: Active

Other names

<unavail>
Tri-State Medical Group Inc · doing business as
Tri-State Medical Group Inc · doing business as

Authorized official

Mr. Antonio Flores, CEO
CEO
(319) 768-5858

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1558340968

Community Health Centers of Southeastern Iowa, Inc's National Provider Identifier is 1558340968, issued on Jan 13, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Keokuk, IA. The record was last updated on Jul 15, 2024.