Organization
COMMUNITY HEALTH CARE, INC.
Active
Other names
CHC-IL Homeless Drop In
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BOWMAN (CEO)
(563) 336-3000
Entity
Organization
Contact information
Practice address
2209 3RD AVE, ROCK ISLAND, IL 61201-8806
(563) 336-3000
(563) 336-3044
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3044
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568980
—
IA
01
—
113373
UNITED HEALTHCARE
IL
01
—
8122859
ILLINOIS BC/BS GROUP #
IL
01
—
91681
IA BCBS GRP# IN MOLINE
IA
01
—
92912
IA BC/BS GRP# SEEN IN RI
IA
01
—
CP8565
RAILROAD MEDICARE GROUP #
IA
Enumeration date
01/18/2006
Last updated
06/15/2010
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