COMMUNITY HEALTH CARE, INC.; NPI #1093795981

Contact Information

COMMUNITY HEALTH CARE, INC.

2209 3RD AVE
ROCK ISLAND, IL 61201-8806

Phone: 563-336-3000
Fax: 563-336-3044
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH CARE, INC.

NPI Number 1093795981

LBN Legal business name COMMUNITY HEALTH CARE, INC.

Authorized official THOMAS BOWMAN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/18/2006

Last updated 06/15/2010 - About 16 years ago

Identifiers

IA	Medicaid	0568980
IA	Other	92912	IA BC/BS GRP# SEEN IN RI
IA	Other	91681	IA BCBS GRP# IN MOLINE
IA	Other	CP8565	RAILROAD MEDICARE GROUP #
IL	Other	8122859	ILLINOIS BC/BS GROUP #
IL	Other	113373	UNITED HEALTHCARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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