Healthcare Provider Details

I. General information

NPI: 1073420071
Provider Name (Legal Business Name): COMMUNITY HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 4TH AVE STE B
MOLINE IL
61265-1231
US

IV. Provider business mailing address

500 W RIVER DR
DAVENPORT IA
52801-1014
US

V. Phone/Fax

Practice location:
  • Phone: 309-743-7878
  • Fax: 309-524-5563
Mailing address:
  • Phone: 563-336-3000
  • Fax: 563-336-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BOWMAN
Title or Position: CEO
Credential:
Phone: 563-336-3000