COMMUNITY HEALTH CARE, INC. (NPI# 1932193224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932193224 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH CARE, INC. |
Other Organization Name | COMMUNITY HEALTH CARE - RIVER DRIVE |
Practice Address |
500 W River Dr Davenport IA 52801-1014 |
Practice Telephone | 5633363000 |
Practice Fax Number | 5633363125 |
Mailing Telephone | 5633363000 |
Mailing Fax Number | 5633363044 |
Enumeration Date | 2005-09-01 |
Last Update Date | 2018-06-21 |
Authorized Official Name | THOMAS J BOWMAN (CEO) |
Authorized Official Telephone | 5633363000 |
Is Organization Subpart | N |
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 |
---|---|---|---|
IA | UNITED HEALTHCARE | 113373 | 01 |
IA | CLIA # | 16D0387805 | 01 |
IA | INDEPENDANT LAB | I12619 | 01 |
IA | RAILROAD MEDICARE GROUP # | CP8565 | 01 |
IL | ILLINOIS BC/BS GROUP # | 8122859 | 01 |
IA | 0080200 | 05 | |
IA | BC/BS OF IA GROUP # | 13238 | 01 |
Other Name | Type Code |
---|---|
Community Health Care - River Drive | Other Name - Individual/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 |
500 W RIVER DR |
City | DAVENPORT |
State | IA |
Zip Code | 52801-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932732203 | Audrey Jean Housman | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2020-02-14 |
1942859012 | Amy S Fitzgibbon | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2019-09-10 |
1730600735 | Heather Morden | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2017-06-29 |
1891215190 | Chau Nguyen | Internal Medicine | 500 W River Dr, Davenport, IA 52801-1014 | 2017-06-27 |
1275067696 | Olaitan Atinuke Ijitimehin | Internal Medicine | 500 W River Dr, Davenport, IA 52801-1014 | 2017-04-12 |
1972034544 | Amee Harms | Pharmacist | 500 W River Dr, Davenport, IA 52801-1014 | 2017-03-24 |
1619416013 | Heather Jacobs | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2017-02-17 |
1124562723 | Jessica Filiatreau | Counselor | 500 W River Dr, Davenport, IA 52801-1014 | 2016-12-15 |
1124560206 | Vicki Hansen | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2016-11-07 |
1255885737 | Lindsey Rae Reid | Counselor | 500 W River Dr, Davenport, IA 52801-1014 | 2016-08-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306332820 | Aaron Hartzler | Registered Nurse | 735 Federal Street, Davenport, IA 52801 | 2018-07-09 |
1235554916 | Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C. | Chiropractor | 604 West 5th Street, Davenport, IA 52801 | 2014-03-04 |
1316218928 | Alcohol & Drug Dependency Services | Clinic/Center | 320 N. Main St., Davenport, IA 52801 | 2012-01-13 |
1336640713 | Christopher Zeng-yue Liu | Dentist | 125 Scott St, Davenport, IA 52801 | 2018-02-22 |
1861883670 | Reem Oweis | Dentist | 125 Scott St, Davenport, IA 52801 | 2015-02-16 |
1184056186 | County of Scott | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2013-08-01 |
1225295488 | Scott County Health Department | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2008-05-16 |
1598076762 | Tonia Rogers | Chiropractor | 604 W 5th St, Davenport, IA 52801-1005 | 2010-06-21 |
1629524699 | Scott County Family Young Men's Christian Association | Health Educator | 606 W 2nd St, Davenport, IA 52801-1009 | 2016-08-30 |
1528408796 | Anju Chana | Internal Medicine | 500 West River Drive, Davenport, IA 52801-1014 | 2013-07-02 |
Find all providers in zip 52801 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811257678 | Community Health Care, Inc | Clinic/Center | 120 N Ripley St, Davenport, IA 52801-1200 | 2012-05-25 |
1295053890 | Community Health Care, Inc | Clinic/Center | 4205 N Fairmount St, Davenport, IA 52806-3054 | 2010-05-07 |
1992827604 | St Charles Health Council Inc | Clinic/Center | Route 80, Davenport, VA 24239 | 2007-04-04 |
1700866605 | Community Health Care, Inc. | Clinic/Center | 4001 N Brady St, Davenport, IA 52806-4003 | 2006-01-18 |
1427418276 | Community Health Care, Inc | Clinic/Center | 1510 E Rusholme St, Davenport, IA 52803-2463 | 2016-03-07 |
1942280235 | Community Health Care, Inc. | Clinic/Center | 500 W River Dr, Davenport, IA 52801-1014 | 2006-01-20 |
1124008214 | Community Health Care, Inc. | Clinic/Center | 303 W 6th St, Davenport, IA 52803-5101 | 2006-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
1932710407 | River Hills Community Health Center Inc | Clinic/Center | 509 S Jefferson St, Sigourney, IA 52591-1521 | 2020-08-10 |
1033729876 | River Hills Community Health Center Inc | Clinic/Center | 907 E Pleasant Valley St, Sigourney, IA 52591-1866 | 2020-08-06 |
1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
1780208280 | River Hills Community Health Center Inc | Clinic/Center | 1417 A Ave E Ste 100, Oskaloosa, IA 52577-4280 | 2020-06-01 |
1124672373 | River Hills Community Health Center Inc. | Clinic/Center | 1000 S 6th St, Fairfield, IA 52556-3940 | 2019-07-26 |
1215581467 | River Hills Community Health Center Inc. | Clinic/Center | 404 W Fillmore Ave, Fairfield, IA 52556-4005 | 2019-07-26 |
1568016970 | River Hills Community Health Center Inc. | Clinic/Center | 605 E Broadway Ave, Fairfield, IA 52556-2900 | 2019-07-25 |
1396270831 | Primary Health Care, Inc. | Clinic/Center | 7555 Hickman Rd, Urbandale, IA 50322-4620 | 2017-04-21 |
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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.