COMMUNITY HEALTH CARE, INC. OUTREACH CLINIC
NPI 1124008214
Clinic/Center - Federally Qualified Health Center (FQHC) in Davenport, IA

Q: What is Community Health Care, Inc.'s NPI number?

The NPI number for Community Health Care, Inc. is 1124008214. It was assigned to this organization in the NPPES registry on January 17, 2006. The provider is doing business as Community Health Care, Inc. Outreach Clinic.

Q: What is Community Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 17, 2006CLIA 16D2279661 · Waiver

902 W 4TH ST, DAVENPORT, IA 52802(563) 336-3000(563) 336-3125 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2023, Oct 5, 2023 (2 updates tracked since 2023).

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About Community Health Care, Inc. Outreach Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH CARE, INC. OUTREACH CLINIC (NPI 1124008214) is a healthcare organization registered as a federally qualified health center (fqhc) in Davenport, Iowa and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Thomas J Bowman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124008214

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY HEALTH CARE, INC.

Location Address902 W 4TH STDavenport, IA 52802-3507

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3044

Phone(563) 336-3000

Fax(563) 336-3125

Organization SubpartNo

Authorized OfficialThomas J BowmanCeo · (563) 336-3000

Enumeration DateJanuary 17, 2006

Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1124008214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

902 W 4TH ST, Davenport, IA 52802

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Other Names 1

Doing Business AsCommunity Health Care, Inc. Outreach Clinic

Other Identifiers 5

Other113373IA · United Healthcare

Other13238IA · Ia Bc/bs Group#

Medicaid0080200IA

Other8122859IL · Il Bc/bs

OtherCP8565IA · Railroad Medicare Group #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2279661

Community Health Care, Inc - Outreach · Davenport, IA

Active · expires Apr 4, 2027

CLIA Number16D2279661

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 5, 2025

Certificate Expiration DateApril 4, 2027

Laboratory DirectorHeather Jacobs

Laboratory Phone(563) 336-3000

Laboratory LocationCommunity Health Care, Inc - Outreach902 W 4th St, Davenport, IA 52802

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Care, Inc.'s NPI number?

The NPI number for Community Health Care, Inc. is 1124008214. It was assigned to this organization in the NPPES registry on January 17, 2006. The provider is doing business as Community Health Care, Inc. Outreach Clinic.

Where is Community Health Care, Inc. located?

Community Health Care, Inc. is located at 902 W 4th St, Davenport, IA 52802. The listed phone number is (563) 336-3000.

What is Community Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Community Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2279661) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Health Care, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Oscar Insurance Company list Community Health Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Health Care, Inc. was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.