| Community Health Center Of Seia, Inc | |
|
1706 W Agency Rd West Burlington IA 52655-1667 | |
| (319) 752-5540 | |
| (319) 752-4096 |
| Full Name | Community Health Center Of Seia, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1706 W Agency Rd, West Burlington, Iowa |
| Authorized Official Name and Position | Ron Kemp (CEO) |
| Authorized Official Contact | 3197532300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Seia, Inc 1706 W Agency Rd West Burlington IA 52655-1667 Ph: (319) 752-5540 | Community Health Center Of Seia, Inc 1706 W Agency Rd West Burlington IA 52655-1667 Ph: (319) 752-5540 |
| NPI Number | 1871582163 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871582163 | NPI | - | NPPES |
| 0288191 | Medicaid | IA | |
| 1005590 | Medicaid | IL | |
| 33773 | Other | IA | IOWA WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08186 (Iowa) | Primary |
Mobiledental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 E Agency Rd Ste 11, West Burlington, IA 52655 Phone: 319-754-1527 Fax: 319-758-0407 | |
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Children's Dental Center Of Se Iowa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Layne Dr, West Burlington, IA 52655 Phone: 319-752-1444 Fax: 319-752-8468 |