Organization · Type 2 NPI

Community Health Center of Fort Dodge, Inc.

Federally Qualified Health Center (FQHC) · Dayton, IA

NPI number 1689087215 Active

Practice location

24 S Main St
Dayton, IA 50530

Fax (515) 547-2976

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Hamilton County Public HospitalRural Health Clinic/Center Dayton, IA NPI 1629413141
Hamilton County Public HospitalCritical Access Hospital Clinic/Center Dayton, IA NPI 1730524430

NPI record

NPI: 1689087215
Entity type: Organization (Type 2)
Issued: Jun 11, 2014
Last updated: Mar 1, 2023
Status: Active
Subpart: Yes of Community Health Center of Fort Dodge Inc.

Other names

<unavail>
Community Health Center of Dayton · other name

Authorized official

Renae Irene Elizabeth Kruckenberg
CEO
(515) 576-6500

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 1689087215

Community Health Center of Fort Dodge, Inc.'s National Provider Identifier is 1689087215, issued on Jun 11, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dayton, IA. The record was last updated on Mar 1, 2023.