CHARTER OAK HEALTH CENTER INC NPI 1710148440

NPI Information

NPI: 1710148440
Provider Name: CHARTER OAK HEALTH CENTER, INC

Doing Business As: CHARTER OAK HEALTH CENTER AT CCMC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
282 WASHINGTON ST
HARTFORD, CT
ZIP 06106
Phone: (860) 550-7500
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CHARTER OAK HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Hartford, CT. CHARTER OAK HEALTH CENTER, INC NPI is 1710148440. The provider is registered as an organization entity type.
The provider Is Doing Business As Charter Oak Health Center At Ccmc.

The provider's business location address is:

282 WASHINGTON ST
HARTFORD, CT
ZIP 06106-322
Phone: (860) 550-7500

The provider's authorized official is Alfreda Turner .
The authorized official title is President And Ceo and has the following contact phone number (860) 550-7500.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 12/5/2008.

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)	00000259	FLORIDA	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
1	004236007	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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