COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC – Federally Qualified Health Center (FQHC), NPI 1255339750

COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC is a healthcare provider. based in West burlington, Iowa. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 000671 (IA). The NPI Number for COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC is 1255339750

Main info

Organization
Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
NPI
1255339750
Phone
(319) 768-5858
Address
1706 WEST AGENCY ROAD
Authorized Official
MR. ANTONIO FLORES CEO CEO
Enumeration Date
8 July 2005
Last Update Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:20State licenses:5Digital endpointsOther names

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Provider Addresses for COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC

  • Community Health Center West Burlington Medical & Dentaol Clinic, 1706, West Agency Road, West Burlington, Des Moines County, Iowa, 52655, United States

    WEST BURLINGTON, IA 52655

    Phone: (319) 768-5858

    Fax: (319) 752-4653

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

2

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20030313000012OFederally Qualified Health Center (Fqhc)IA2023-10-31
O20040219000446OClinic/Group PracticeIATBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52655)

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Reviews

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Frequently asked questions

What is COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC's NPI number?
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC's NPI is 1255339750 — the number used across U.S. healthcare to identify this provider.
Is COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC shown as active in public data?
Registry records indicate COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC maintains an active NPI.
What clinical focus is listed for COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC?
At a glance, COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC is tied to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Is COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC associated with West Burlington?
Public fields place COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC around West Burlington, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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