COMMUNITY HEALTH CARE, INC. (NPI# 1598759292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598759292 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CARE, INC. |
| Other Organization Name | COMMUNITY HEALTH CARE - ROCK ISLAND |
| Practice Address |
2750 11th St Rock Island IL 61201-5216 |
| Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
| Practice Telephone | 5633272100 |
| Practice Fax Number | 5633272102 |
| Mailing Telephone | 5633363000 |
| Mailing Fax Number | 5633363044 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2013-04-18 |
| 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 | RAILROAD MEDICARE GROUP # | CP8565 | 01 |
| IL | CLIA # | 14D1020507 | 01 |
| IA | IA BC/BS GROUP # | 92912 | 01 |
| IL | IL BC/BS GROUP # | 8122859 | 01 |
| IL | UNITED HEALTHCARE | 113373 | 01 |
| IA | 0568980 | 05 | |
| IA | INDEPENTANT LAB | I12619 | 01 |
| Other Name | Type Code |
|---|---|
| Community Health Care - Rock Island | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
| 1073954988 | Community Health Care, Inc. | Clinic/Center | 1700 Route 47, Rio Grande, NJ 08242-1406 | 2013-07-09 |
| 1699089847 | Community Health Care, Inc. | Clinic/Center | 1255 Landis Avenue, Vineland, NJ 08360-3423 | 2010-07-29 |
| 1912080078 | Community Health Care, Inc. | Home Health | 512 Jonathan Ln, Greensboro, NC 27406-5121 | 2006-10-23 |
| 1316040496 | Community Health Care, Inc. | Counselor | 251 W Broad St, Bridgeton, NJ 08302-2315 | 2006-09-06 |
| 1598868671 | Community Health Care, Inc. | Midwife | 1038 E Chestnut Ave, Suite 250, Vineland, NJ 08360-5800 | 2006-09-06 |
| 1689785610 | Community Health Care, Inc. | Counselor | 3 Broadway, Cape May Court House, NJ 08210-1937 | 2006-08-31 |
| 1568572568 | Community Health Care, Inc. | Counselor | 785 W Sherman Ave, Vineland, NJ 08360-6913 | 2006-08-30 |
| 1093795981 | Community Health Care, Inc. | Clinic/Center | 2209 3rd Ave, Rock Island, IL 61201-8806 | 2006-01-18 |
| 1700866605 | Community Health Care, Inc. | Clinic/Center | 4001 N Brady St, Davenport, IA 52806-4003 | 2006-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COMMUNITY HEALTH CARE, INC. | 500 W River Dr, Davenport, IA 52801 |
| Street Address |
2750 11TH ST |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395972 | Bernardita R Enriquez | Pediatrics | 2750 11th St, Rock Island, IL 61201-5216 | 2005-09-06 |
| 1427561216 | Melina Moncivaiz | Nurse Practitioner | 2750 11th St, Rock Island, IL 61201-5216 | 2017-11-15 |
| 1326563917 | Alissa A Gordon | Nurse Practitioner | 2750 11th St, Rock Island, IL 61201 | 2017-08-04 |
| 1568813459 | Manisha Virdi | Dentist | 2750 11th St, Rock Island, IL 61201-5216 | 2016-06-22 |
| 1669874608 | Heidi Vorac | Nurse Practitioner | 2750 11th St, Rock Island, IL 61201-5216 | 2014-09-22 |
| 1780004275 | Rebecca Hayes | Internal Medicine | 2750 11th St, Rock Island, IL 61201 | 2014-04-23 |
| 1568759520 | Sarah Lynn Hartman | Pediatrics | 2750 11th St, Rock Island, IL 61201-5216 | 2011-06-28 |
| 1417139452 | Kendra R Kaufman | Physician Assistant | 2750 11th St, Rock Island, IL 61201-5216 | 2007-12-01 |
| 1780894816 | Sanjay Suryakant Pancholi | Internal Medicine | 2750 11th St, Rock Island, IL 61201-5216 | 2007-05-24 |
| 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.