COMMUNITY HEALTH CENTER OF FORT DODGE, INC. – NPI #1689087215
Clinic/Center

COMMUNITY HEALTH CENTER OF FORT DODGE, INC. is an AHC clinic located in DAYTON, IA. NPPES has assigned the NPI number 1689087215 to COMMUNITY HEALTH CENTER OF FORT DODGE, INC. on June 11, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COMMUNITY HEALTH CENTER OF FORT DODGE, INC. is also known by the name COMMUNITY HEALTH CENTER OF DAYTON. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Mar 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY HEALTH CENTER OF FORT DODGE, INC. below.

NPI Profile for
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.

NPI Number
1689087215
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Other Name: COMMUNITY HEALTH CENTER OF DAYTON
Primary location
24 S MAIN ST
DAYTON, IA 50530
Phone: (515) 547-2974 Fax: (515) 547-2976
Mailing address
Same as primary location
Organization Subpart
Yes - COMMUNITY HEALTH CENTER OF FORT DODGE, INC. is subpart of another organization.
Authorized Official
RENAE KRUCKENBERG
CEO
Phone: (515) 576-6500
Updated
Certification Date
Mar 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.