COMMUNITY HEALTH CARE, INC (NPI# 1477819886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477819886 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CARE, INC |
Practice Address |
708 15th Ave East Moline IL 61244-2134 |
Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
Practice Telephone | 5633272015 |
Practice Fax Number | 5633272045 |
Mailing Telephone | 5633363000 |
Mailing Fax Number | 5633363125 |
Enumeration Date | 2012-04-10 |
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 |
---|---|---|---|
IA | 1932193224 | 05 |
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 |
1114252012 | Community Health Care, Inc | Clinical Medical Laboratory | 2200 3rd Ave, Rock Island, IL 61201-8840 | 2009-10-09 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | COMMUNITY HEALTH CARE, INC. | 500 W River Dr, Davenport, IA 52801 |
Street Address |
708 15TH AVE |
City | EAST MOLINE |
State | IL |
Zip Code | 61244-2134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538450994 | Kristina M Albert | Nurse Practitioner | 708 15th Ave, East Moline, IL 61244-2134 | 2011-04-20 |
1992354799 | Melissa L Bradley | Nurse Practitioner | 708 15th Ave, East Moline, IL 61244-2134 | 2019-09-05 |
1881046050 | Anuradha Ranganath | Family Medicine | 708 15th Ave, East Moline, IL 61244-2134 | 2016-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457870917 | Sara Winders | Speech-Language Pathologist | 3451 Morton Drive, East Moline School District #37, East Moline, IL 61244 | 2017-09-15 |
1962888735 | Kathryn Miller | Occupational Therapist | 3909 5th Street, East, IL 61244 | 2015-08-04 |
1194035782 | Polly Anne Haskins | Nurse Practitioner | 465 Avenue of The Cities, Suite 100, East Moline, IL 61244 | 2010-10-15 |
1083843171 | Shannon A. Scott | Private Vehicle | 170 15th Ave, East Moline, IL 61244 | 2009-07-09 |
1538203575 | Kory M Melin | Dentist | 2909 19th Street, East Moline, IL 61244 | 2007-02-15 |
1497766893 | John J Naert | Dentist | 401 Avenue of The Cities, East Moline, IL 61244 | 2006-08-10 |
1538115928 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 107 Avenue of The Cities, East Moline, IL 61244 | 2006-05-26 |
1538135744 | Stephen Edward Matheis | Chiropractor | 2819 19th St, East Moline, IL 61244 | 2006-02-27 |
1154307965 | Family Chiropractic of The Quad Cities Ltd | Chiropractor | 640 15th Ave, East Moline, IL 61244 | 2005-12-22 |
1295242063 | Ann Patrice Morey | Speech-Language Pathologist | 1275 Avenue of The Cities, East Moline, IL 61244 | 2018-01-03 |
Find all providers in zip 61244 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 | EAST MOLINE |
Zip Code | 61244 |
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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.