| Chc-adult Rehabilitation Center | |
|
4001 N Brady St Davenport IA 52806-4003 | |
| (563) 336-3000 | |
| (563) 336-3044 |
| Full Name | Chc-adult Rehabilitation Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4001 N Brady St, Davenport, Iowa |
| Authorized Official Name and Position | Thomas J Bowman (CEO) |
| Authorized Official Contact | 5633363000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc-adult Rehabilitation Center 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Chc-adult Rehabilitation Center 4001 N Brady St Davenport IA 52806-4003 Ph: (563) 336-3000 |
| NPI Number | 1700866605 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700866605 | NPI | - | NPPES |
| 113373 | Other | IA | UNITED HEALTHCARE |
| 13238 | Other | IA | IA BC/BS GROUP# |
| 0080200 | Medicaid | IA | |
| 8122859 | Other | IL | IL BC/BS GROUP# |
| CP8565 | Other | IA | RAIL ROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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