| Community Health Care, Inc | |
|
4205 N Fairmount St Davenport IA 52806-3054 | |
| (563) 343-9095 | |
| (563) 336-3125 |
| Full Name | Community Health Care, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4205 N Fairmount 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 |
|---|---|
| Community Health Care, Inc 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care, Inc 4205 N Fairmount St Davenport IA 52806-3054 Ph: (563) 343-9095 |
| NPI Number | 1295053890 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295053890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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