OrganizationActive
Community Health Centers of Southeastern Iowa Inc
NPI 1992784300 · Federally Qualified Health Center (FQHC) · Hamilton, IL
Provider details
- NPI number
- 1992784300
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antonio Flores, Ceo(319) 768-5858
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
951 Broadway St
Hamilton, IL 62341-1436
Phone: (217) 847-2112
Fax: (319) 753-2301
Street-level locationGet directions
Mailing address
1706 West Agency Road
West Burlington, IA 52655
Other names (DBA / former)
- Doing business as
- Tri-State Medical Group Inc
- Doing business as
- Tri-State Medical Group Inc
Registry dates
- Enumerated
- 2006-01-13
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.