UNITED COMMUNITY HEALTH CENTER INC. NPI 1043268659

NPI Information

NPI: 1043268659
Provider Name: UNITED COMMUNITY HEALTH CENTER INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 16D1046665

Address:
715 W MILWAUKEE AVE
STORM LAKE, IA
ZIP 50588
Phone: (712) 213-0109
Get Directions

UNITED COMMUNITY HEALTH CENTER INC. is a federally qualified health center (fqhc) clinic center in Storm Lake, IA. UNITED COMMUNITY HEALTH CENTER INC. NPI is 1043268659. The provider is registered as an organization entity type.

The provider's business location address is:

715 W MILWAUKEE AVE
STORM LAKE, IA
ZIP 50588-564
Phone: (712) 213-0109
Fax: (712) 213-0186

The provider's authorized official is Renea Lynn Seagren .
The authorized official title is Executive Director and has the following contact phone number (712) 213-0109.

The CLIA number assigned to this NPI record is 16D1046665 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 11/1/2009.

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)			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	161828	MEDICARE ID-TYPE UNSPECIFIED	IOWA
2	0488296	MEDICAID	IOWA

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: 5/5/2024

NPI Synchronization or Removal

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