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Community Health Care, INC

Clinic/Center, Federally Qualified Health Center (FQHC) in Rock Island, IL. Organization (NPI-2).

NPI number1114252012
StatusActive
Last updated in NPPESApr 29, 2013

Details

NPI
1114252012
Entity type
Organization (NPI-2)
Legal business name
Community Health Care, INC
Organization subpart
No
Enumeration date
Oct 9, 2009
Last updated
Apr 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
291U00000X Clinical Medical Laboratory––

Other names

  • Community Health Care - Robert Young Center (Other Name)

Practice location

2200 3rd Ave
Rock Island, IL 61201-8840

Phone 309-779-2835 · Fax 309-779-2819

Mailing address

500 W River Dr
Davenport, IA 52801-1014

Phone 563-336-3000 · Fax 563-336-3125

Authorized official

Thomas J Bowman
Ceo
5633363000

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