COMMUNITY HEALTH CARE, INC; NPI #1114252012

Contact Information

COMMUNITY HEALTH CARE, INC

2200 3RD AVE
ROCK ISLAND, IL 61201-8840

Phone: 309-779-2835
Fax: 309-779-2819
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory

Indicates primary specialty

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NPI Profile & details for COMMUNITY HEALTH CARE, INC

NPI Number 1114252012

LBN Legal business name COMMUNITY HEALTH CARE, INC

Authorized official THOMAS BOWMAN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/09/2009

Last updated 04/29/2013 - About 13 years ago

Identifiers

Medicaid

1114252012

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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