Organization · Type 2 NPI

Community Health Center of Fort Dodge, Inc.

Federally Qualified Health Center (FQHC) · Eagle Grove, IA

NPI number 1801596325 Active

Practice location

306 W Broadway St
Eagle Grove, IA 50533-1712

Call (515) 576-6500 Map

Fax (515) 576-1951

Mailing address

126 N 10th St
Fort Dodge, IA 50501-3915

Specialties and licenses

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

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

Another provider at this address

Eagle Grove Family Dentistry PLCDentist Eagle Grove, IA NPI 1831566330

NPI record

NPI: 1801596325
Entity type: Organization (Type 2)
Issued: Mar 3, 2023
Last updated: Mar 3, 2023
Status: Active
Subpart: Yes of Community Health Center of Fort Dodge, Inc.

Other names

Community Health Center of Eagle Grove · doing business as

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.

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About NPI 1801596325

Community Health Center of Fort Dodge, Inc.'s National Provider Identifier is 1801596325, issued on Mar 3, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Eagle Grove, IA. The record was last updated on Mar 3, 2023.