COMMUNITY HEALTH CENTER OF FORT DODGE INC. NPI 1588160089

NPI Information

  • NPI: 1588160089
  • Provider Name: COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: COMMUNITY HEALTH CENTER OF MASON CITY
  • CLIA Number: 16D2148250
  • Address: 404 N FEDERAL AVE
    MASON CITY, IA
    ZIP 50401
  • Phone: (641) 450-0601

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NPI Details

COMMUNITY HEALTH CENTER OF FORT DODGE, INC. is a federally qualified health center (fqhc) clinic center in Mason City, IA. COMMUNITY HEALTH CENTER OF FORT DODGE, INC. NPI is 1588160089. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Center Of Mason City.

The provider's business location address is:

404 N FEDERAL AVE
MASON CITY, IA
ZIP 50401-214
Phone: (641) 450-0601
Fax: (641) 450-0612

The provider's authorized official is Renae Irene Elizabeth Kruckenberg .
The authorized official title is Ceo and has the following contact phone number (515) 576-6500.

The CLIA number assigned to this NPI record is 16D2148250 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/3/2018 and was last updated on 3/1/2023.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)261QF0400XIOWAYes

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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