COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC (NPI# 1396384657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396384657 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC |
| Practice Address |
119 S Fillmore St Mount Ayr IA 50854-1823 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6414462383 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | SAMANTHA CANNON (CEO) |
| 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 | 0462887 | 05 | |
| MO | 507202208 | 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 |
| 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 |
| 1770521981 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 302 Ne 14th St, Leon, IA 50144-1206 | 2006-06-02 |
| Street Address |
119 S FILLMORE ST |
| City | MOUNT AYR |
| State | IA |
| Zip Code | 50854-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011333 | County of Ringgold | Home Health | 119 S Fillmore St, Mount Ayr, IA 50854-1823 | 2005-08-24 |
| 1568889194 | County of Ringgold Dba Ringgold County Public Health | Public Health or Welfare | 119 S Fillmore St, Mount Ayr, IA 50854-1823 | 2014-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068039 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 406 S. Hayes Street, Mount Ayr, IA 50854 | 2019-02-04 |
| 1205218112 | Kathleen Quinn Willcox | Family Medicine | Mount Ayr Medical Clinic, 504 N. Cleveland St, Mount Ayr, IA 50854 | 2015-06-26 |
| 1407944853 | Charles Collus Lawhead | Dentist | 104 So Taylor St, Mount Ayr, IA 50854 | 2006-10-11 |
| 1588738918 | Clearview Estates | Assisted Living Facility | 500 W Columbus St, Mount Ayr, IA 50854-1100 | 2006-11-18 |
| 1356414239 | Ringgold County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Ringgold St, Mount Ayr, IA 50854-1215 | 2006-11-16 |
| 1154356681 | Steven R Roe | Pharmacist | 211 Shellway Dr, Mount Ayr, IA 50854-1233 | 2006-07-12 |
| 1952485872 | Clearview-routh Lp | Skilled Nursing Facility | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2006-10-25 |
| 1912035833 | Clearview Homes | Home Delivered Meals | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2007-03-01 |
| 1376629758 | David C Ahnen | Podiatrist | 102 E Adams St, Mount Ayr, IA 50854-1621 | 2006-10-28 |
| 1023229549 | Sudarsan Chavala | Ophthalmology | 102 E Adams St, Suite 2, Mount Ayr, IA 50854-1621 | 2007-05-25 |
| Find all providers in zip 50854 | ||||
| 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 | ||||
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.