Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Health Center of Fort Dodge Inc

Organization Family Medicine Physician · NPI 1225083728

Community Health Center of Fort Dodge Inc is a Family Medicine Physician 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
Show map & directions

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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