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

Community Health Centers of Southeastern Iowa Inc

Organization Internal Medicine Physician · NPI 1255339750

Community Health Centers of Southeastern Iowa Inc is an Internal Medicine Physician in West Burlington, Iowa. Licensed in Iowa. Registered with an NPI since 2005.

Licensed in
IA
In the registry since
2005
Specialties on file
6
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

1706 W Agency Rd
West Burlington, IA 52655
Phone: (319) 768-5858
Fax: (319) 752-4653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Internal Medicine Physician Taxonomy 207R00000X · Licence 35097 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 37355 (IA)
Pediatrics Physician Taxonomy 208000000X · Licence 17758 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 000671 (IA)
Nurse Practitioner Taxonomy 363L00000X · Licence A045847 (IA)

Record details

NPI number1255339750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antonio Flores — Ceo · (319) 768-5858
NPI enumeratedJuly 8, 2005
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address1706 West Agency Road, West Burlington, IA 52655

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