COMMUNITY HEALTH CARE, INC (NPI# 1114252012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114252012 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CARE, INC |
Other Organization Name | COMMUNITY HEALTH CARE - ROBERT YOUNG CENTER |
Practice Address |
2200 3rd Ave Rock Island IL 61201-8840 |
Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
Practice Telephone | 3097792835 |
Practice Fax Number | 3097792819 |
Mailing Telephone | 5633363000 |
Mailing Fax Number | 5633363125 |
Enumeration Date | 2009-10-09 |
Last Update Date | 2013-04-29 |
Authorized Official Name | THOMAS J BOWMAN (CEO) |
Authorized Official Telephone | 5633363000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 1114252012 | 05 |
Other Name | Type Code |
---|---|
Community Health Care - Robert Young Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811257678 | Community Health Care, Inc | Clinic/Center | 120 N Ripley St, Davenport, IA 52801-1200 | 2012-05-25 |
1295053890 | Community Health Care, Inc | Clinic/Center | 4205 N Fairmount St, Davenport, IA 52806-3054 | 2010-05-07 |
1558596890 | Community Health Care, Inc | Clinic/Center | 410 N Route 9, Cape May Court House, NJ 08210-1952 | 2009-05-15 |
1740422591 | Community Health Care, Inc | Clinic/Center | 75 Wescott Station Rd, Fairton, NJ 08302 | 2009-03-25 |
1447499363 | Community Health Care, Inc | Clinic/Center | 1601 Kings Hwy, Swedesboro, NJ 08085-1213 | 2009-02-17 |
1750552840 | Community Health Care, Inc | Family Medicine | 610 Montrose St, Vineland, NJ 08360 | 2008-03-17 |
1346342441 | Community Health Care, Inc | Counselor | 1200 N. High St., Millville, NJ 08332 | 2006-09-01 |
1427418276 | Community Health Care, Inc | Clinic/Center | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-03-07 |
1235535113 | Community Health Care, Inc | Clinic/Center | 75 W Red Bank Ave, Woodbury, NJ 08096-1694 | 2014-11-05 |
1790103679 | Community Health Care, Inc | Clinic/Center | 1369 Highway 77, Bridgeton, NJ 08302-5997 | 2014-03-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | COMMUNITY HEALTH CARE, INC. | 500 W River Dr, Davenport, IA 52801 |
Street Address |
2200 3RD AVE |
City | ROCK ISLAND |
State | IL |
Zip Code | 61201-8840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720608474 | Cassandra Brielle Gebhardt | Occupational Therapy Assistant | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2020-04-23 |
1184136715 | Angela Marie Anderson | Day Training/Habilitation Specialist | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-11-05 |
1992215610 | Ashley Klauss | Counselor | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-10-08 |
1073038154 | Marisa J Hull | Registered Nurse | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-08-09 |
1639693849 | Theodore Eric Vogel-wilson | Counselor | 2200 3rd Ave, Rock Island, IL 61201 | 2017-07-29 |
1376066431 | Kim Deann Hall | Social Worker | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-07-20 |
1235670803 | Melanie Jean Rice | Counselor | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-03-16 |
1932649092 | Tracy Hopkins | Counselor | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2017-03-08 |
1316494701 | Angela Strosahl | Counselor | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2016-09-02 |
1407302664 | Gaylene Elaine Harrell | Counselor | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2016-08-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
Find all providers in zip 61201 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093795981 | Community Health Care, Inc. | Clinic/Center | 2209 3rd Ave, Rock Island, IL 61201-8806 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
Find all providers with the same taxonomy |
City | ROCK ISLAND |
Zip Code | 61201 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.