COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1083830236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083830236 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC |
| Practice Address |
911 E Main Street Lamoni IA 50140-1507 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6417847911 |
| Practice Fax Number | 6417847419 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | DOUGLAS JAEGER (CEO) |
| Authorized Official Telephone | 6414462383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IA | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK MEDICARE BLUE PPO | 61827 | 01 |
| MO | 507202208 | 05 | |
| IA | 0462861 | 05 | |
| WELLMARK BLUE CROSS/BLUE SHIELD | 39015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672939 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 1711 Osceola Ave, Chariton, IA 50049-1516 | 2007-05-23 |
| 1710102132 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 221 East State St, Centerville, IA 52544-1813 | 2007-04-13 |
| 1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
| 1396384657 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 119 S Fillmore St, Mount Ayr, IA 50854-1823 | 2020-01-03 |
| 1447741483 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 1030 N 7th St, Chariton, IA 50049-1206 | 2018-05-25 |
| 1366949877 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 606 W Main St, Princeton, MO 64673-1140 | 2018-04-11 |
| 1205377322 | Community Health Centers of Southern Iowa, Inc | Pharmacy | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-09 |
| 1922294362 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 802 Ackerly St, Lamoni, IA 50140-1544 | 2007-09-19 |
| 1194941542 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 117 S Main St, Albia, IA 52531-2013 | 2007-04-17 |
| 1770521981 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-06-02 |
| Street Address |
911 E MAIN STREET |
| City | LAMONI |
| State | IA |
| Zip Code | 50140-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407051923 | Lamoni Assisted Living, L.L.C. | Assisted Living Facility | 810 E 3rd, Lamoni, IA 50140 | 2007-06-15 |
| 1386757250 | Terry Burritt Lesan | Dentist | 1330 E Main, Lamoni, IA 50140 | 2006-08-16 |
| 1174670517 | Lamoni C.s.d. | Local Education Agency (LEA) | 202 N Walnut St, Lamoni, IA 50140-1111 | 2007-01-05 |
| 1740521491 | Leah A Olson | Social Worker | 405 E 10th St, Lamoni, IA 50140-1161 | 2013-03-05 |
| 1013537679 | Ethan Middleton | Pharmacist | 101 E Main St, Lamoni, IA 50140-1241 | 2020-04-23 |
| 1083049126 | Hy-vee, Inc. | Pharmacy | 101 E Main St, Lamoni, IA 50140-1241 | 2013-09-09 |
| 1952487191 | Lamoni Varsity Drug | Pharmacy | 101 E Main St, Lamoni, IA 50140-1241 | 2006-10-31 |
| 1194702738 | Lamoni Varsity Drug L.L.C. D/b/a Varsity Drug | Durable Medical Equipment & Medical Supplies | 101 E Main St, Lamoni, IA 50140-1241 | 2005-12-26 |
| 1205182540 | Kendra Dawn Friesz | Dietitian, Registered | 720 E Main St, Lamoni, IA 50140-1512 | 2012-07-24 |
| 1265404263 | Care Initiatives | Skilled Nursing Facility | 215 S Oak St, Lamoni, IA 50140-1519 | 2006-02-03 |
| Find all providers in zip 50140 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407377195 | Community Health Centers of Southern Iowa | Clinic/Center | 1 University Pl, Lamoni, IA 50140-1641 | 2017-07-03 |
| 1922294362 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 802 Ackerly St, Lamoni, IA 50140-1544 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 1932710407 | River Hills Community Health Center Inc | Clinic/Center | 509 S Jefferson St, Sigourney, IA 52591-1521 | 2020-08-10 |
| 1033729876 | River Hills Community Health Center Inc | Clinic/Center | 907 E Pleasant Valley St, Sigourney, IA 52591-1866 | 2020-08-06 |
| 1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
| 1780208280 | River Hills Community Health Center Inc | Clinic/Center | 1417 A Ave E Ste 100, Oskaloosa, IA 52577-4280 | 2020-06-01 |
| 1124672373 | River Hills Community Health Center Inc. | Clinic/Center | 1000 S 6th St, Fairfield, IA 52556-3940 | 2019-07-26 |
| 1215581467 | River Hills Community Health Center Inc. | Clinic/Center | 404 W Fillmore Ave, Fairfield, IA 52556-4005 | 2019-07-26 |
| 1568016970 | River Hills Community Health Center Inc. | Clinic/Center | 605 E Broadway Ave, Fairfield, IA 52556-2900 | 2019-07-25 |
| 1396270831 | Primary Health Care, Inc. | Clinic/Center | 7555 Hickman Rd, Urbandale, IA 50322-4620 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.