Infinity Health - Archived in Lamoni - Federally Qualified Health Center (fqhc)

Infinity Health - Archived - NPI 1083830236

Infinity Health - Archived is a Federally Qualified Health Center (fqhc) in Lamoni, Iowa. Infinity Health - Archived practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Infinity Health - Archived is 1083830236. The last update date is 2022-02-11.

Infinity Health - Archived's current location address is 802 Ackerley St, Lamoni, Iowa. You can contact this provider via phone number 6417847911 and fax number 6417846162. The mailing address for Infinity Health - Archived is 802 Ackerley St, Lamoni, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Infinity Health - Archived
Address 802 Ackerley St, Lamoni, Iowa
Phone Number 6417847911
Fax Number 6417846162
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Cannon Samantha
Telephone Number 6414462383

NPI Number Detail

NPI Number 1083830236
Provider Enumeration Date 2007-04-17
Last Updated Date 2022-02-11

Provider Mailing Address Detail

Address 802 Ackerley St
City Lamoni
State Iowa (IA)
Post Code 501401544
Phone Number 6417847911
Fax Number 6417846162

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39015 WELLMARK BLUE CROSS/BLUE SHIEL
507202208 MO --
462861 IA --
61827 IA WELLMARK MEDICARE BLUE PPO

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FAQs about Infinity Health - Archived

What is the unique 10-digit identification code issued to Infinity Health - Archived by the Centers for Medicare & Medicaid Services?

The Infinity Health - Archived has been assigned the NPI (National Provider Identifier) 1083830236 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Infinity Health - Archived's facilities are situated?

The facilities of Infinity Health - Archived are physically located at the following address: 802 Ackerley St, Lamoni, IA, 501401544.

What is Infinity Health - Archived's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Infinity Health - Archived's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.

When was the Infinity Health - Archived's 1083830236 issued?

The Infinity Health - Archived's 1083830236 was issued on 2007-04-17.

As of what date were the details related to Infinity Health - Archived most recently updated or revised?

The information pertaining to Infinity Health - Archived, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-11.

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