COMMUNITY HEALTH CENTER OF DAYTON
NPI 1689087215
Clinic/Center - Federally Qualified Health Center (FQHC) in Dayton, IA

Active since June 11, 2014
24 S MAIN ST, DAYTON, IA 50530(515) 547-2974(515) 547-2976 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Jul 31, 2018 (2 updates tracked since 2018).

About Community Health Center Of Dayton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH CENTER OF DAYTON (NPI 1689087215) is a healthcare organization registered as a federally qualified health center (fqhc) in Dayton, Iowa and active in the NPI registry since June 2014. The organization lists Renae Irene Elizabeth Kruckenberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689087215
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTER OF FORT DODGE, INC.
Location Address24 S MAIN STDayton, IA 50530
Mailing Address24 S Main StDayton, IA 50530-7698 · (515) 576-6500 · Fax (515) 576-1951
Fax(515) 547-2976
Organization SubpartYesParent: Community Health Center Of Fort Dodge Inc.
Authorized OfficialRenae Irene Elizabeth KruckenbergCeo · (515) 576-6500
Enumeration DateJune 11, 2014
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1689087215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
24 S MAIN ST, Dayton, IA 50530

Other Names 1

Other NameCommunity Health Center Of Dayton

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 Dayton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Community Health Center Of Dayton, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner18
Optometry10
Mental Health Counselor3
Family Practice2
Clinical Social Worker1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 35
Mental Health Counselor
NPI 1538544309
2123 10TH AVE S
Fort Dodge, IA 50501
(515) 227-1708
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1992780365
800 KENYON RD
Fort Dodge, IA 50501
(515) 890-7105
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1295081263
802 KENYON RD
Fort Dodge, IA 50501
(515) 574-6450
✔ PECOS✔ Accepts Medicare17 mi
Obstetrics/Gynecology
NPI 1164494597
804 KENYON RD
Fort Dodge, IA 50501
(515) 574-6870
✔ PECOS✔ Accepts Medicare17 mi
Mental Health Counselor
NPI 1508550385
805 CENTRAL AVE STE 300
Fort Dodge, IA 50501
(515) 206-1662
✔ PECOS18 mi
Nurse Practitioner
NPI 1023377827
126 N. 10TH STREET
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1154134815
126 N 10TH ST
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1245591288
126 N 10TH ST
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1558333898
126 N 10TH ST
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1346110715
126 N 10TH ST
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1699134072
126 N 10TH ST
Fort Dodge, IA 50501
(515) 576-6500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1699483404
130 MAIN ST
Rockwell City, IA 50579
(515) 570-1585
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1760996292
303 N MAIN ST
Clarion, IA 50525
(515) 532-3343
✔ PECOS37 mi
Nurse Practitioner
NPI 1750176244
303 N MAIN ST
Clarion, IA 50525
(515) 532-3343
✔ PECOS37 mi
Nurse Practitioner
NPI 1891421442
715 W MILWAUKEE AVE
Storm Lake, IA 50588
(712) 213-0109
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1265924138
320 N EISENHOWER AVE
Mason City, IA 50401
(641) 424-2391
✔ PECOS✔ Accepts Medicare74 mi
Nurse Practitioner
NPI 1346940830
404 N FEDERAL AVE
Mason City, IA 50401
(641) 450-0601
✔ PECOS✔ Accepts Medicare75 mi
Mental Health Counselor
NPI 1730712654
404 N FEDERAL AVE
Mason City, IA 50401
(641) 450-0601
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1639607757
404 N FEDERAL AVE
Mason City, IA 50401
(641) 450-0601
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1700060720
240 N RERICK AVE
Primghar, IA 51245
(712) 957-2310
✔ PECOS✔ Accepts Medicare98 mi
See all 35 clinicians

Source: 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

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) 16D2085625

Community Health Center Of Dayton · Dayton, IA
Expired · Oct 16, 2026
CLIA Number16D2085625
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorElizabeth W. Stoebe
Laboratory Phone(515) 547-2974
Laboratory LocationCommunity Health Center Of Dayton24 South Main Street, Dayton, IA 50530
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 1689087215. It was assigned to this organization in the NPPES registry on June 11, 2014. The provider is also known as Community Health Center Of Dayton.

Where is Community Health Center Of Fort Dodge, Inc. located?

Community Health Center Of Fort Dodge, Inc. is located at 24 S Main St, Dayton, IA 50530. The listed phone number is (515) 547-2974.

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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oscar Insurance Company 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.