CHC-IL HOMELESS DROP IN
NPI 1093795981
Clinic/Center - Federally Qualified Health Center (FQHC) in Rock Island, IL

NPI Status: Active since January 18, 2006

Contact Information

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

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 16D0387805
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 03-24-2027

About CHC-IL HOMELESS DROP IN

This page provides the complete NPI Profile along with additional information for Chc-il Homeless Drop In, a primary care provider established in Rock Island, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1093795981 assigned on January 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Chc-il Homeless Drop In. The authorized official of this NPI record is Thomas J Bowman (Ceo)

NPI
1093795981
Provider Legal Name
COMMUNITY HEALTH CARE, INC.
Other Organization Name
CHC-IL HOMELESS DROP IN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2209 3RD AVE ROCK ISLAND, IL 61201
Location Phone
(563) 336-3000
Location Fax
(563) 336-3044
Mailing Address
500 W RIVER DR DAVENPORT, IA 52801
Mailing Phone
(563) 336-3000
Mailing Fax
(563) 336-3044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2006
Last Update Date
06-15-2010
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A primary care provider (PCP) like Chc-il Homeless Drop In sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS J BOWMAN

Authorized Official Title
CEO
Authorized Official Phone
(563) 336-3000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
91681OTHER (01)IAIA BCBS GRP# IN MOLINE
113373OTHER (01)ILUNITED HEALTHCARE
CP8565OTHER (01)IARAILROAD MEDICARE GROUP #
0568980MEDICAID (05)IA 
207707MEDICARE PIN (08)IL 
=========OTHER (01)IABILLING TAX ID# FOR CHC
141012MEDICARE OSCAR/CERTIFICATION (06)IL 
=========010MEDICAID (05)IL 
8122859OTHER (01)ILILLINOIS BC/BS GROUP #
92912OTHER (01)IAIA BC/BS GRP# SEEN IN RI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0387805
Facility Type
Federally Qualified Health Center
Certificate Effective Date
March 25, 2025
Certificate Expiration Date
March 24, 2027
Laboratory Director
ANJU CHANA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chc-il Homeless Drop In to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093795981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 4 + 9 + 1 + 0 + 9 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093795981.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093795981, enumerated as an "organization" on January 18, 2006.

The provider is located at 2209 3RD AVE ROCK ISLAND, IL 61201 and the phone number is (563) 336-3000.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.