| Community Health Care, Inc | |
|
708 15th Ave East Moline IL 61244-2134 | |
| (563) 327-2015 | |
| (563) 327-2045 |
| Full Name | Community Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 708 15th Ave, East Moline, Illinois |
| Authorized Official Name and Position | Thomas J 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 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care, Inc 708 15th Ave East Moline IL 61244-2134 Ph: (563) 327-2015 |
| NPI Number | 1477819886 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 9830008895 |
|---|---|
| Medicare Enrollment ID | O20120815000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477819886 | NPI | - | NPPES |
| 1932193224 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Genesis Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 46th Ave, East Moline, IL 61244 Phone: 309-792-2329 Fax: 309-792-1146 | |
Heartland Chiropractic Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 379 Avenue Of The Cities, East Moline, IL 61244 Phone: 309-752-1410 | |
Stone Ridge Medical Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 46th Ave, East Moline, IL 61244 Phone: 309-796-2329 Fax: 309-796-1146 | |
Tri-county Alcohol And Drug Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 15th Ave, East Moline, IL 61244 Phone: 309-752-9740 Fax: 309-752-9744 | |
Nancy J Short Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4360 Kennedy Dr, Suite 1, East Moline, IL 61244 Phone: 309-792-6090 Fax: 309-792-6097 | |
Community Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 7th St, East Moline, IL 61244 Phone: 563-336-3000 Fax: 563-336-3125 |