COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1205377322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205377322 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC |
| Practice Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6414462383 |
| Practice Fax Number | 6414462382 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MRS. SAMANTHA CANNON (CEO) |
| Authorized Official Telephone | 6414462383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 1602 | IA | Suppliers |
| 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 |
| 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 |
302 NE 14TH ST |
| City | LEON |
| State | IA |
| Zip Code | 50144-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197643 | Larry Wayne Richard | Family Medicine | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-03-09 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| 1588226492 | Aaron Cobb | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2019-07-01 |
| 1801388764 | Kate Elaine O'donnell | Dentist | 302 Ne 14th St, Leon, IA 50144-1206 | 2018-06-05 |
| 1598283533 | Maria Beatriz Dantzler | Marriage & Family Therapist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-08-30 |
| 1649794181 | Ryan Banks | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-26 |
| 1598287476 | Laura Heide | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-07-12 |
| 1306378443 | Julie Ury | Counselor | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-29 |
| 1326588179 | Adam Dosch | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-02-27 |
| 1851740781 | Jean Ruth Clapham | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1285764175 | Decatur County Community Services | Case Management | 201 Ne Idaho, Leon, IA 50144 | 2007-03-07 |
| 1093793051 | County of Decatur | Home Health | 207 Ne Idaho St, Leon, IA 50144 | 2006-01-09 |
| 1356860498 | Mara Wengryn | Chiropractor | 303 Sw Lorraine St Ste C, Leon, IA 50144-1101 | 2017-09-10 |
| 1184025918 | Westview Properties LLC | Assisted Living Facility | 203 Sw Lorraine St, Leon, IA 50144-1176 | 2014-09-11 |
| 1467422709 | Westview Acres Corp | Alzheimer Center (Dementia Center) | 203 Sw Lorraine St., Leon, IA 50144-1176 | 2006-01-26 |
| 1497827570 | South Central Home Health Care Inc | Home Health | 303 Sw Lorraine St, Leon, IA 50144-1178 | 2006-11-14 |
| 1285120659 | Miranda Nicole Helm | Emergency Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2018-07-09 |
| 1518470392 | Timothy Alan Harper | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2017-11-15 |
| 1760632640 | Decatur County Hospital | Family Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2008-09-26 |
| Find all providers in zip 50144 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 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.