COMMUNITY HEALTH CARE, INC. (NPI# 1467066357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467066357 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CARE, INC. |
| Practice Address |
1701 River Dr Ste 110 Moline IL 61265-1384 |
| Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
| Practice Telephone | 5633363000 |
| Practice Fax Number | 5633363125 |
| Mailing Telephone | 5633363000 |
| Mailing Fax Number | 5633363125 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | HEIDI BARNES (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5633363225 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | PENDING | 01 |
| IA | PENDING | 05 | |
| IL | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Community Health Care, Inc. The Project | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417309527 | Community Health Care, Inc. | Clinic/Center | 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028-1435 | 2016-07-13 |
| 1073954988 | Community Health Care, Inc. | Clinic/Center | 1700 Route 47, Rio Grande, NJ 08242-1406 | 2013-07-09 |
| 1699089847 | Community Health Care, Inc. | Clinic/Center | 1255 Landis Avenue, Vineland, NJ 08360-3423 | 2010-07-29 |
| 1912080078 | Community Health Care, Inc. | Home Health | 512 Jonathan Ln, Greensboro, NC 27406-5121 | 2006-10-23 |
| 1316040496 | Community Health Care, Inc. | Counselor | 251 W Broad St, Bridgeton, NJ 08302-2315 | 2006-09-06 |
| 1598868671 | Community Health Care, Inc. | Midwife | 1038 E Chestnut Ave, Suite 250, Vineland, NJ 08360-5800 | 2006-09-06 |
| 1689785610 | Community Health Care, Inc. | Counselor | 3 Broadway, Cape May Court House, NJ 08210-1937 | 2006-08-31 |
| 1568572568 | Community Health Care, Inc. | Counselor | 785 W Sherman Ave, Vineland, NJ 08360-6913 | 2006-08-30 |
| 1093795981 | Community Health Care, Inc. | Clinic/Center | 2209 3rd Ave, Rock Island, IL 61201-8806 | 2006-01-18 |
| 1700866605 | Community Health Care, Inc. | Clinic/Center | 4001 N Brady St, Davenport, IA 52806-4003 | 2006-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COMMUNITY HEALTH CARE, INC. | 500 W River Dr, Davenport, IA 52801 |
| Street Address |
1701 RIVER DR STE 110 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-1384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255744348 | The Project of The Quad Cities | Social Worker | 1701 River Dr Ste 110, Moline, IL 61265-1384 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.