COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1194941542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194941542 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC |
| Practice Address |
117 S Main St Albia IA 52531-2013 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6419322065 |
| Practice Fax Number | 6419322365 |
| Mailing Telephone | (641) 446-2383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MS. SAMANTHA CANNON (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 |
|---|---|---|---|
| WELLMARK BLUE CROSS/BLUE SHIELD | 39014 | 01 | |
| IA | 0762708 | 05 | |
| MO | 505475103 | 05 |
| 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 |
| 1083830236 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 911 E Main Street, Lamoni, IA 50140-1507 | 2007-04-17 |
| 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 |
| 1770521981 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-06-02 |
| Street Address |
117 S MAIN ST |
| City | ALBIA |
| State | IA |
| Zip Code | 52531-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710483524 | Chandra Michel Brown | Nurse Practitioner | 658 165th St, Albia, IA 52531 | 2018-04-02 |
| 1932650272 | Midwest Medical Transport Company, LLC-albia, Ia | Ambulance | 521 I Avenue West, Albia, IA 52531 | 2016-10-21 |
| 1700237161 | Tanner Crossley | Family Medicine | 6582 156th Street, Albia, IA 52531 | 2016-06-28 |
| 1548426026 | Care Initiatives | Hospice Care, Community Based | 4 South Main Street, Albia, IA 52531 | 2008-08-04 |
| 1720109911 | Joseph Leo Bates | Dentist | 222 E Washington Ave E, Albia, IA 52531 | 2007-04-03 |
| 1366589004 | Brees Rest Home Inc | Residential Treatment Facility, Physical Disabilities | 210 Washington Ave E, Albia, IA 52531 | 2007-01-31 |
| 1639236458 | Monroe County Professional Mgmt | Day Training, Developmentally Disabled Services | 15a Ave West, Albia, IA 52531 | 2007-01-02 |
| 1922076678 | Rebecca Ann Thomas | Psychologist | 202 A Ave. E., The Westover Center, Albia, IA 52531 | 2006-03-09 |
| 1184954463 | William R. Adler Od PC | Optometrist | 6584 165th St, Albia, IA 52531 | 2010-01-08 |
| 1457444200 | William Rae Adler | Optometrist | 6584 165th St, Box 100, Albia, IA 52531-0100 | 2006-10-02 |
| Find all providers in zip 52531 | ||||
| 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 |
|---|---|---|---|---|
| 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.