National Provider Identifier Database

COMMUNITY HEALTH CARE INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

COMMUNITY HEALTH CARE, INC.
1106 4TH AVE
MOLINE, IL61265-0000
Phone: 563-327-2000
Fax: 563-327-2045
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical Medical Laboratory 291U00000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CARE, INC.

NPI Number 1710971486
Legal business name
LBN
COMMUNITY HEALTH CARE, INC.
Authorized official THOMAS BOWMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/08/2005
Last updated 04/18/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 0568998
  • IA Other: 91681 IA BC/BS GROUP #
  • IA Other: I12619 INDEPENDANT LAB
  • IL Other: 14D1020508 CLIA
  • IL Other: 8122859 IL BC/BS GROUP#
  • IL Other: CP8565 RAILROAD MEDICARE GROUP #
  • IL Other: 113373 UNITED HEALTH CARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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