COMMUNITY HEALTH CENTER OF MASON CITY
NPI 1588160089
Clinic/Center - Federally Qualified Health Center (FQHC) in Mason City, IA

NPI Status: Active since April 03, 2018

Contact Information

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

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 16D2148250
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-06-2026

About COMMUNITY HEALTH CENTER OF MASON CITY

This page provides the complete NPI Profile along with additional information for Community Health Center Of Mason City, a primary care provider established in Mason City, Iowa operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1588160089 assigned on April 2018. The practitioner's primary taxonomy code is 261QF0400X with license number 261QF0400X (IA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Community Health Center Of Mason City. The authorized official of this NPI record is Renae Irene Elizabeth Kruckenberg (Ceo)

NPI
1588160089
Provider Legal Name
COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Other Organization Name
COMMUNITY HEALTH CENTER OF MASON CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
404 N FEDERAL AVE MASON CITY, IA 50401
Location Phone
(641) 450-0601
Location Fax
(641) 450-0612
Mailing Address
126 N 10TH ST FORT DODGE, IA 50501
Mailing Phone
(515) 576-6500
Mailing Fax
(641) 450-0612
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-03-2018
Last Update Date
03-01-2023
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A primary care provider (PCP) like Community Health Center Of Mason City sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
261QF0400X
License State
IA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENAE IRENE ELIZABETH KRUCKENBERG

Authorized Official Title
CEO
Authorized Official Phone
(515) 576-6500

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D2148250
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 07, 2024
Certificate Expiration Date
May 06, 2026
Laboratory Director
ELIZABETH W. STOEBE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Community Health Center Of Mason City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588160089
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168260016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 2 + 6 + 0 + 0 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1588160089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679619373DR. BRIAN KEITH BURLESON D.D.S.
Individual
Dentist (General Practice)404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601
1699389098 RACHAEL IRENE DOLF
Individual
Counselor (Mental Health)404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601
1801310479DR. ZACHARY THEODORE LINDQUIST I DDS
Individual
Dentist404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601
1346940830 BAILEY JO SCHUTZ FNP-C
Individual
Nurse Practitioner (Community Health)404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601
1619706421 KUMARI SASWATI KAR B.D.S, M.S
Individual
Dentist404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601
1245634401 TERRILEE JACKEL ARNP
Individual
Nurse Practitioner (Family)404 N FEDERAL AVE
MASON CITY, IA 50401
(641) 450-0601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588160089, enumerated in the NPI registry as an "organization" on April 03, 2018

The provider is located at 404 N Federal Ave Mason City, Ia 50401 and the phone number is (641) 450-0601

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 16D2148250 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on April 03, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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