INFINITY HEALTH - ARCHIVED NPI 1083830236

NPI Information

NPI: 1083830236
Provider Name: INFINITY HEALTH - ARCHIVED
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
CLIA Number: 16D0382881
Address: 802 ACKERLEY ST
LAMONI, IA
ZIP 50140
Phone: (641) 784-7911

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NPI Details

INFINITY HEALTH - ARCHIVED is a federally qualified health center (fqhc) clinic center in Lamoni, IA. INFINITY HEALTH - ARCHIVED NPI is 1083830236. The provider is registered as an organization entity type.

The provider's business location address is:

802 ACKERLEY ST
LAMONI, IA
ZIP 50140-544
Phone: (641) 784-7911
Fax: (641) 784-6162

The provider's authorized official is Samantha Cannon .
The authorized official title is Ceo and has the following contact phone number (641) 446-2383.

The CLIA number assigned to this NPI record is 16D0382881 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 2/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		IOWA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61827	OTHER	IOWA	WELLMARK MEDICARE BLUE PPO
2	0462861	MEDICAID	IOWA
3	39015	OTHER		WELLMARK BLUE CROSS/BLUE SHIELD
4	507202208	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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