NPI: 1992111579
Provider Name: FIRST CHOICE HEALTH CENTERS, INC.
Former Legal Business Name: EAST HARTFORD COMMUNITY HEALTH CARE, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 07D2113378
Address:
791 MIDDLE TPKE W
HOWELL CHENEY TECHNICAL HIGH SCHOOL
MANCHESTER, CT
ZIP 06040
Phone: (860) 649-5396
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FIRST CHOICE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Manchester, CT. FIRST CHOICE HEALTH CENTERS, INC. NPI is 1992111579. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is East Hartford Community Health Care, Inc..
The provider's business location address is:
791 MIDDLE TPKE W
HOWELL CHENEY TECHNICAL HIGH SCHOOL
MANCHESTER, CT
ZIP 06040-819
Phone: (860) 649-5396
Fax: (860) 290-4142
The provider's authorized official is Eugene A Market .
The authorized official title is Ceo and has the following contact phone number (860) 610-6131.
The CLIA number assigned to this NPI record is 07D2113378 - ambulance with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/3/2014 and was last updated on 12/5/2016.