| Community Health Care Inc | |
|
312 Iowa Ave Muscatine IA 52761-3836 | |
| (563) 336-3000 | |
| (563) 336-3125 |
| Full Name | Community Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 Iowa Ave, Muscatine, Iowa |
| Authorized Official Name and Position | Heidi Barnes (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5633363225 |
| 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 312 Iowa Ave Muscatine IA 52761-3836 Ph: (563) 336-3000 |
| NPI Number | 1275175002 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 9830008895 |
|---|---|
| Medicare Enrollment ID | O20191119001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275175002 | NPI | - | NPPES |
| PENDING | Medicaid | IL | |
| PENDING | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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