COMMUNITY HEALTH CENTER OF FORT DODGE, INC.
NPI 1720854847
Clinic/Center - Federally Qualified Health Center (FQHC) in Clarion, 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 1720854847), doing business as Community Health Center Of Clarion, is a healthcare organization registered as a federally qualified health center (fqhc) in Clarion, Iowa and active in the NPI registry since November 2023. The organization lists Renae Irene Elizabeth Kruckenberg, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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, 1 practice at this address and 2 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.
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 1720854847. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as Community Health Center of Clarion.
Where is Community Health Center Of Fort Dodge, Inc. located?
Community Health Center Of Fort Dodge, Inc. is located at 303 N Main St, Clarion, IA 50525. 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, 1 practice at this address and 2 within 10 miles. 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 November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 1720854847
Federally Qualified Health Center (FQHC) organization in Clarion, Iowa. Organization record, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1720854847 (Entity type: Organization)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Community Health Center of Clarion (Doing Business As)
- **Organization subpart:** Yes (part of Community Health Center Of Fort Dodge, Inc.)
- **Authorized official:** Renae Kruckenberg, CEO
## Practice location
- **Address:** 303 N MAIN ST, Clarion, IA 50525-1441
- **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); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1720854847/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720854847) · Data from the CMS NPPES public registry.