Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Community Health Center of Fort Dodge Inc

Organization Family Medicine Physician · NPI 1225083728

Community Health Center of Fort Dodge Inc provides Family Medicine Physician services in Fort Dodge, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

126 N 10th St
Fort Dodge, IA 50501-3915
Phone: (515) 576-6500
Fax: (515) 576-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (IA)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1225083728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Kruckenberg — Ceo · (515) 576-6500
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address126 North 10th St, Fort Dodge, IA 50501-3915

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