COMMUNITY HEALTH CENTER OF FORT DODGE INC. NPI 1881766400

NPI Information

COMMUNITY HEALTH CENTER OF FORT DODGE, INC. is a clinic pharmacy pharmacy in Fort Dodge, IA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. COMMUNITY HEALTH CENTER OF FORT DODGE, INC. NPI is 1881766400. The provider is registered as an organization entity type.

The provider's business location address is:

126 N 10TH ST
FORT DODGE, IA
ZIP 50501-915
Phone: (515) 576-6500
Fax: (515) 576-1951

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

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/4/2022.

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:

Other Identifiers

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

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