Organization
COMMUNITY HEALTH CARE, INC
Active
Organization
COMMUNITY HEALTH CARE, INC
Active
Other names
Edgerton Women's Health Center - Dental
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BOWMAN (CEO)
(563) 336-3000
Entity
Organization
Contact information
Practice address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 336-3000
(563) 336-3125
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3125
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
05
—
PENDING
—
IL
Enumeration date
03/07/2016
Last updated
04/22/2025
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