COMMUNITY HEALTH CENTER OF FORT DODGE INC.
NPI 1225083728
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Dodge, IA
About Community Health Center Of Fort Dodge Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY HEALTH CENTER OF FORT DODGE INC. (NPI 1225083728) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Dodge, Iowa and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates and lists Renae Irene Elizabeth Kruckenberg, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Health Center Of Fort Dodge Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Community Health Center Of Fort Dodge Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 35Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D1049982
Community Health Center Of Fort Dodge, Inc · Fort Dodge, IACertificate for Provider-Performed Microscopy Procedures (PPMP) 16D2301254
Community Health Center Of Clarion · Clarion, IACertificate for Provider-Performed Microscopy Procedures (PPMP) 16D2281576
Community Health Center Of Eagle Grove · Eagle Grove, IACertificate for Provider-Performed Microscopy Procedures (PPMP) 16D2316523
Community Health Center Of Spencer · Spencer, IAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Community Health Center Of Fort Dodge Inc.'s NPI number?
The NPI number for Community Health Center Of Fort Dodge Inc. is 1225083728. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Community Health Center Of Fort Dodge Inc. located?
Community Health Center Of Fort Dodge Inc. is located at 126 North 10th St, Fort Dodge, IA 50501. The listed phone number is (515) 576-6500.
What is Community Health Center Of Fort Dodge Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Health Center Of Fort Dodge Inc. enrolled in Medicare?
Yes. Community Health Center Of Fort Dodge Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Health Center Of Fort Dodge Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 6 Medicare specialties reassign their Medicare billing to Community Health Center Of Fort Dodge Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Optometry (10) and Mental Health Counselor (3). Of these, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Health Center Of Fort Dodge Inc. hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Community Health Center Of Fort Dodge Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 4 other insurers list Community Health Center Of Fort Dodge Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Community Health Center Of Fort Dodge Inc. was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Community Health Center Of Fort Dodge Inc. · NPI 1225083728
Federally Qualified Health Center (FQHC) organization in Fort Dodge, Iowa. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1225083728 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Renae Kruckenberg, CEO
## Practice location
- **Address:** 126 NORTH 10TH ST, Fort Dodge, IA 50501-3915
- **Phone:** (515) 576-6500 · **Fax:** (515) 576-2021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Optometry (10), Mental Health Counselor (3); 6 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1225083728/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2023
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225083728) · Data from the CMS NPPES public registry.