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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CARE, INC.

MEDICARE: COMMUNITY HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6CP8565OTHERIARAILROAD MEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
216D0387805OTHERIACLIA #
38122859OTHERILILLINOIS BC/BS GROUP #
413238OTHERIABC/BS OF IA GROUP #
5113373OTHERIAUNITED HEALTHCARE
7I12619OTHERIAINDEPENDANT LAB

General Provider Information

NPI Number : 1932193224
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3044
Provider Business Practice Location Address
First Line : 500 W RIVER DR
Second Line :
City : DAVENPORT
State : IA
Zip : 52801-1014
Country : US
Telephone Number : 563-336-3000
Fax Number : 563-336-3125
Authorized Official
Title or Position : CEO
Name : THOMAS J BOWMAN
Credential :
Telephone Number : 563-336-3000
Provider Enumeration Date : 09/01/2005
Last Update Date : 06/21/2018

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1942280235 — COMMUNITY HEALTH CARE, INC.
Practice Location Address:
500 W RIVER DR
DAVENPORT, IA
52801-1014
Practice Phone: 563-336-3000
Practice Fax: 563-336-3044

Directions to “COMMUNITY HEALTH CARE, INC. ” Practice Location

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