Organization
COMMUNITY HEALTH CARE, INC
Active
Other names
Community Health Care - Robert Young Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BOWMAN (CEO)
(563) 336-3000
Entity
Organization
Contact information
Practice address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
(309) 779-2835
(309) 779-2819
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3125
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114252012
—
IL
Enumeration date
10/09/2009
Last updated
04/29/2013
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