COMMUNITY HEALTH CARE INC NPI 1114252012

NPI Information

  • NPI: 1114252012
  • Provider Name: COMMUNITY HEALTH CARE, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: COMMUNITY HEALTH CARE - ROBERT YOUNG CENTER
  • Address: 2200 3RD AVE
    ROCK ISLAND, IL
    ZIP 61201
  • Phone: (309) 779-2835

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NPI Details

COMMUNITY HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Rock Island, IL. COMMUNITY HEALTH CARE, INC NPI is 1114252012. The provider is registered as an organization entity type.
The provider Other Name Is Community Health Care - Robert Young Center.

The provider's business location address is:

2200 3RD AVE
ROCK ISLAND, IL
ZIP 61201-840
Phone: (309) 779-2835
Fax: (309) 779-2819

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 10/9/2009 and was last updated on 4/29/2013.

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
1291U00000XClinical Medical LaboratoryNo
2261QF0400XClinic/CenterFederally 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
11114252012MEDICAIDILLINOIS
2207707MEDICARE OSCAR/CERTIFICATIONILLINOIS

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: 11/21/2025

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