COMMUNITY HEALTH CARE, INC


Address: 2200 3rd Ave, Rock Island, IL 61201-8840
Phone: 3097792835

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 1114252012 05

Other Provider/Organization Names

Other Name Type Code
Community Health Care - Robert Young Center Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities COMMUNITY HEALTH CARE, INC. 500 W River Dr, Davenport, IA 52801

Office Location

Street Address 2200 3RD AVE
City ROCK ISLAND
State IL
Zip Code 61201-8840

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093795981 Community Health Care, Inc. Clinic/Center 2209 3rd Ave, Rock Island, IL 61201-8806 2006-01-18

Providers in the same taxonomy and state

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
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Competitor

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City ROCK ISLAND
Zip Code 61201

Improve Information

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Dataset Information

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.

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