340B Drug Pricing Program Database

Name

COMMUNITY HEALTH CENTER OF FORT DODGE, INC

Subdivision Name

COMMUNITY HEALTH CENTER OF FORT DODGE

Type

HRSA-Funded Health Center

Site ID

BPS-H80-005182

340B ID

CH0715040

Grant Number

H80CS06667

Current Program Status

Active

Registration Date

3/8/2006

Participating Start Date

4/1/2006

Participating Approval Date

3/9/2006

Last Recertification Date

3/4/2025

Authorizing Official

Community Health Center of Fort Dodge, Inc.
Renae Kruckenberg, CEO
(515) 576-6500 Ext: 1021

Primary Contact

Community Health Center of Fort Dodge, Inc.
Colleen Miller, COO
(515) 576-6500 Ext: 1025

Street Address

126 N 10th St
Fort Dodge, IA 50501-3915

Billing Address
Same as Street Address