Organization
COMMUNITY HEALTH CARE INC
Active
Other names
Community Health Care Inc - Clinton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BOWMAN (CEO)
(563) 336-3000
Entity
Organization
Contact information
Practice address
925 SOUTH 4TH STREET, CLINTON, IA 52732-5726
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IA
05
—
PENDING
—
IL
Enumeration date
04/22/2015
Last updated
08/05/2015
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