| Community Health Care, Inc. | |
|
4101 John Deere Rd Moline IL 61265-9951 | |
| (563) 336-3000 | |
| (563) 336-3125 |
| Full Name | Community Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4101 John Deere Rd, Moline, Illinois |
| 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. 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care, Inc. 4101 John Deere Rd Moline IL 61265-9951 Ph: (563) 336-3000 |
| NPI Number | 1467066357 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 02/05/2025 |
| Medicare PECOS PAC ID | 9830008895 |
|---|---|
| Medicare Enrollment ID | O20200916000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467066357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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