Community Health Care - Robert Young Center
LBN: Community Health Care, Inc
Community Health Care - Robert Young Center is an health care organization with primary practice located at 2200 3Rd Ave , Rock Island IL 61201-8840. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Care, Inc can be contacted via phone (309) 779-2835, or through Bowman, Thomas J via phone (563) 336-3000.
Contact Information
Primary practice address
2200 3Rd Ave
Rock Island IL 61201-8840
Phone: (309) 779-2835
Fax: (309) 779-2819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
| NPI number | 1114252012 |
|---|---|
| LBN Legal business name | Community Health Care, Inc |
| DBA Doing business as | Community Health Care - Robert Young Center |
| Authorized official | Bowman, Thomas J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2009 |
| Last updated | Apr 29th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114252012 | NPPES |
| Illinois | MEDICAID | 1114252012 |
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