COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1770521981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770521981 |
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 | 2006-06-02 |
Last Update Date | 2012-10-31 |
Authorized Official Name | MS. SAMANTHA CANNON (CFO) |
Authorized Official Telephone | 6414462383 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
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 | |
MO | 507202208 | 05 | |
WELLMARK MEDICARE BLUE PPO | 61826 | 01 | |
IA | 0462887 | 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 |
1194941542 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 117 S Main St, Albia, IA 52531-2013 | 2007-04-17 |
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 |
1205377322 | Community Health Centers of Southern Iowa, Inc | Pharmacy | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-03-09 |
1326588179 | Adam Dosch | Pharmacist | 302 Ne 14th St, Leon, IA 50144-1206 | 2017-02-27 |
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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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013103456 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 1404 Nw Church St, Leon, IA 50144-1266 | 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 |
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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.