| Community Health Care - Regional Virology | |
|
1351 W Central Park Ave Davenport IA 52804-1853 | |
| (563) 421-4244 | |
| (563) 421-4285 |
| Full Name | Community Health Care - Regional Virology |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1351 W Central Park Ave, 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 - Regional Virology 500 W River Dr Davenport IA 52801-1014 Ph: (563) 336-3000 | Community Health Care - Regional Virology 1351 W Central Park Ave Davenport IA 52804-1853 Ph: (563) 421-4244 |
| NPI Number | 1962496679 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962496679 | NPI | - | NPPES |
| I12619 | Other | IA | INDEPENDANT LAB |
| 16D1035713 | Other | IA | CLIA # |
| 0418517 | Medicaid | IA | |
| 113373 | Other | IA | UNITED HEALTHCARE |
| 39110 | Other | IA | IA BC/BS GROUP# |
| 8122859 | Other | IL | IL BC/BS GROUP # |
| CP8565 | Other | IA | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Millennium Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5260 Northwest Blvd, Suite 2, Davenport, IA 52806 Phone: 563-445-2400 Fax: 563-445-2404 | |
Renee D Lass Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4626 Progress Dr Ste B, Davenport, IA 52807 Phone: 563-359-3736 Fax: 563-359-0153 | |
Quad Cities Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3509 Spring St, Suite 3, Davenport, IA 52807 Phone: 563-359-5011 Fax: 359-355-3438 | |
Community Health Care, Inc. Outreach Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 W 4th St, Davenport, IA 52802 Phone: 563-336-3000 Fax: 563-336-3125 | |
Genesis Health Group Davenport Clinic Health Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 W 3rd St, Davenport, IA 52802 Phone: 563-421-0500 Fax: 563-326-1901 | |
Quad Cities Pediatrics, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042 | |
Genesis Convenient Care Davenport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 W 53rd St, Davenport, IA 52806 Phone: 563-421-3800 Fax: 563-421-3810 |