COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1922294362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922294362 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC |
| Practice Address |
802 Ackerly St Lamoni IA 50140-1544 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6417847911 |
| Practice Fax Number | 6417846162 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2007-09-19 |
| 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 |
|---|---|---|---|
| IA | 0700994 | 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 |
| 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 |
802 ACKERLY ST |
| City | LAMONI |
| State | IA |
| Zip Code | 50140-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895044 | Decatur Medical Services, PC | Family Medicine | 802 Ackerly St, Lamoni, IA 50140-1544 | 2006-03-14 |
| 1780067678 | Andrew Sullivan | Physician Assistant | 802 Ackerly St, Lamoni, IA 50140-1544 | 2015-07-09 |
| 1164617775 | Benna L Easter | Nurse Practitioner | 802 Ackerly St, Lamoni, IA 50140-1544 | 2007-09-07 |
| 1649249111 | Mark E Easter | Family Medicine | 802 Ackerly St, Lamoni, IA 50140-1544 | 2006-03-16 |
| 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 |
| 1083830236 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 911 E Main Street, Lamoni, IA 50140-1507 | 2007-04-17 |
| 1205182540 | Kendra Dawn Friesz | Dietitian, Registered | 720 E Main St, Lamoni, IA 50140-1512 | 2012-07-24 |
| 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 |
|---|---|---|---|---|
| 1083830236 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 911 E Main Street, Lamoni, IA 50140-1507 | 2007-04-17 |
| 1407377195 | Community Health Centers of Southern Iowa | Clinic/Center | 1 University Pl, Lamoni, IA 50140-1641 | 2017-07-03 |
| 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 | ||||
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC.
| 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.