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COMMUNITY HEALTH CENTER INC NPI 1982889309


NPI Information

NPI: 1982889309
Provider Name: COMMUNITY HEALTH CENTER INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1 SHAWS CV
NEW LONDON, CT
ZIP 06320
Phone: (860) 447-8304
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COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in New London, CT. COMMUNITY HEALTH CENTER INC NPI is 1982889309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SHAWS CV
NEW LONDON, CT
ZIP 06320-902
Phone: (860) 447-8304
Fax: (860) 443-8720

The provider's authorized official is Bain Patrie .
The authorized official title is Credentialing Specialist and has the following contact phone number (860) 347-6971.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 10/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine0229CONNECTICUTNo
2213E00000XPodiatrist0229CONNECTICUTNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004236338MEDICAIDCONNECTICUT
2071839MEDICARE PINCONNECTICUT
3004236354MEDICAIDCONNECTICUT
4004236346MEDICAIDCONNECTICUT

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.