COMMUNITY HEALTH CARE INC. NPI 1093795981

NPI Information

NPI: 1093795981
Provider Name: COMMUNITY HEALTH CARE, INC.

Doing Business As: CHC-IL HOMELESS DROP IN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2209 3RD AVE
ROCK ISLAND, IL
ZIP 61201
Phone: (563) 336-3000
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COMMUNITY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Rock Island, IL. COMMUNITY HEALTH CARE, INC. NPI is 1093795981. The provider is registered as an organization entity type.
The provider Is Doing Business As Chc-il Homeless Drop In.

The provider's business location address is:

2209 3RD AVE
ROCK ISLAND, IL
ZIP 61201-806
Phone: (563) 336-3000
Fax: (563) 336-3044

The provider's authorized official is Thomas J Bowman .
The authorized official title is Ceo and has the following contact phone number (563) 336-3000.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 6/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	91681	OTHER	IOWA	IA BCBS GRP# IN MOLINE
2	113373	OTHER	ILLINOIS	UNITED HEALTHCARE
3	CP8565	OTHER	IOWA	RAILROAD MEDICARE GROUP #
4	0568980	MEDICAID	IOWA
5	207707	MEDICARE PIN	ILLINOIS
6	=========	OTHER	IOWA	BILLING TAX ID# FOR CHC
7	141012	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
8	=========010	MEDICAID	ILLINOIS
9	8122859	OTHER	ILLINOIS	ILLINOIS BC/BS GROUP #
10	92912	OTHER	IOWA	IA BC/BS GRP# SEEN IN RI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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