COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC (NPI# 1154866903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154866903 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC |
| Practice Address |
3460 Main St Keokuk IA 52632-2226 |
| Practice Telephone | 3197685858 |
| Practice Fax Number | 3193138398 |
| Mailing Telephone | 3197685858 |
| Mailing Fax Number | 3193138398 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | APRIL SCHNEDLER (BILLING AND IT MANAGER) |
| Authorized Official Telephone | 3197685858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
42157584 | IA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC. | Attn Ronald W. Kemp Ceo, 1706 West Agency Road, West Burlington, IA 52655 |
| Street Address |
3460 MAIN ST |
| City | KEOKUK |
| State | IA |
| Zip Code | 52632-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265911721 | Eugenia Kay Petersen | Speech-Language Pathologist | 20 Village Circle, Keokuk Iowa, Keokuk, IA 52632 | 2018-08-07 |
| 1578984902 | Cody Kite-warth | Physical Therapy Assistant | 20 Village Circly, Keokuk, IA 52632 | 2014-01-03 |
| 1801228234 | Nicole Fett | Occupational Therapy Assistant | 20 Village Circle, Keokuk, IA 52632 | 2013-08-08 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1225241052 | Kenneth Blaine Messer | Dentist | 1624 Morgan Street, Keokuk, IA 52632 | 2007-05-08 |
| 1417011024 | Donald Loren Steingreaber | Dentist | 307 N 17th, Keokuk, IA 52632 | 2006-12-20 |
| 1265501316 | John A Wilde | Dentist | 1626 Morgan St, Suite 3, Keokuk, IA 52632 | 2006-11-06 |
| 1639250293 | Charles F Eddingfield Md | General Practice | 1610 Morgan Street, Keokuk, IA 52632 | 2006-10-18 |
| 1861582835 | Nick John Daskalos | Dentist | 28 N 4th St, Keokuk, IA 52632 | 2006-10-13 |
| 1831209683 | Edward Martin Mcgreevey | Dentist | 1624 Morgan St, Keokuk, IA 52632 | 2006-08-30 |
| Find all providers in zip 52632 | ||||
| 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.