| Community Health Center Of Fort Dodge, Inc. | |
|
223 W 7th St Spencer IA 51301-3704 | |
| (515) 576-6500 | |
| (515) 576-1951 |
| Full Name | Community Health Center Of Fort Dodge, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 W 7th St, Spencer, Iowa |
| Authorized Official Name and Position | Renae Irene Elizabeth Kruckenberg (CEO) |
| Authorized Official Contact | 5155766500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Fort Dodge, Inc. 126 N 10th St Fort Dodge IA 50501-3915 Ph: (515) 576-6500 | Community Health Center Of Fort Dodge, Inc. 223 W 7th St Spencer IA 51301-3704 Ph: (515) 576-6500 |
| NPI Number | 1376351841 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Medicare PECOS PAC ID | 1557378627 |
|---|---|
| Medicare Enrollment ID | O20250131001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376351841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Spencer Municipal Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E 10th St, Suite 208, Spencer, IA 51301 Phone: 712-264-6189 Fax: 712-264-6542 |