| Community Health Care Inc - Clinton | |
|
925 South 4th Street Clinton IA 52732-5726 | |
| (563) 336-3000 | |
| (563) 336-3125 |
| Full Name | Community Health Care Inc - Clinton |
|---|---|
| Speciality | Clinic/Center |
| Location | 925 South 4th Street, Clinton, Iowa |
| Authorized Official Name and Position | Thomas Bowman (CEO) |
| Authorized Official Contact | 5633363000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care Inc - Clinton 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care Inc - Clinton 925 South 4th Street Clinton IA 52732-5726 Ph: (563) 336-3000 |
| NPI Number | 1598152019 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 08/05/2015 |
| Medicare PECOS PAC ID | 9830008895 |
|---|---|
| Medicare Enrollment ID | O20150807013771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598152019 | NPI | - | NPPES |
| PENDING | Medicaid | IL | |
| PENDING | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Iowa) | Primary |
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