Organization
COMMUNITY HEALTH CARE, INC.
Active
Other names
Community Health Care Independent Lab
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BOWMAN (CEO)
(563) 336-3000
Entity
Organization
Contact information
Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
16D0387805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080200
—
IA
Enumeration date
08/07/2007
Last updated
04/29/2013
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