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Community Health Centers Of Southern Iowa, Inc

Community Health Centers Of Southern Iowa, Inc is a health care provider in Leon, IA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 102-104 North Franklin St, Corydon, IA 50060, US
Practice Location Phone641-872-1750
Practice Location Fax641-872-1751
Legal Business NameCOMMUNITY HEALTH CENTERS OF SOUTHERN IOWA, INC
NPI ?1669697074
Entity TypeOrganization
Enumeration Date ? Apr 13, 2007
Last Update Date ? Jun 1, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Community Health Centers Of Southern Iowa, Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) Iowa
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Community Health Centers Of Southern Iowa, Inc

Provider IdIssuer StateIssuer TypeIssuer
39014OtherWELLMARK BLUE CROSS/BLUE SHIELD
0762930IowaMedicaid
504921206MissouriMedicaid

official-icon Authorized Official of Community Health Centers Of Southern Iowa, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Community Health Centers Of Southern Iowa, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Samantha Cannon
Authorized Official Title/PositionCFO
Authorized Official Phone Number641-446-2383