OrganizationActive
Community Health Center of Fort Dodge Inc.
NPI 1225083728 · Federally Qualified Health Center (FQHC) · Fort Dodge, IA
Provider details
- NPI number
- 1225083728
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renae Kruckenberg, Ceo(515) 576-6500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
126 North 10th St
Fort Dodge, IA 50501-3915
Phone: (515) 576-6500
Fax: (515) 576-2021
Street-level locationGet directions
Mailing address
126 North 10th St
Fort Dodge, IA 50501-3915
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.