FIRST CHOICE HEALTH CENTERS INC. NPI 1699193292

NPI Information

NPI: 1699193292
Provider Name: FIRST CHOICE HEALTH CENTERS, INC.

Former Legal Business Name: EAST HARTFORD COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
110 CONNECTICUT BLVD
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 610-6131
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FIRST CHOICE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in East Hartford, CT. FIRST CHOICE HEALTH CENTERS, INC. NPI is 1699193292. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is East Hartford Community Health Center.

The provider's business location address is:

110 CONNECTICUT BLVD
EAST HARTFORD, CT
ZIP 06108-013
Phone: (860) 610-6131
Fax: (860) 290-4142

The provider's authorized official is Eugene Market .
The authorized official title is President & Ceo and has the following contact phone number (860) 610-6131.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 2/7/2017.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0724	CONNECTICUT	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0724	CONNECTICUT	No
3	261QP1100X	Clinic/Center	Podiatric	0724	CONNECTICUT	No
4	261QP2300X	Clinic/Center	Primary Care	0724	CONNECTICUT	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0502	CONNECTICUT	No

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
1	004236164	MEDICAID	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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