Charter Oak Health Center, Inc | |
32 Grand St Hartford CT 06106-4658 | |
(860) 550-7500 | |
(860) 550-7529 |
Full Name | Charter Oak Health Center, Inc |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 32 Grand St, Hartford, Connecticut |
Authorized Official Name and Position | Tim Powers (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 8605507500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charter Oak Health Center, Inc 21 Grand St Ste 1 Hartford CT 06106-1541 Ph: (860) 550-7500 | Charter Oak Health Center, Inc 32 Grand St Hartford CT 06106-4658 Ph: (860) 550-7500 |
NPI Number | 1114537578 |
---|---|
Provider Enumeration Date | 07/31/2020 |
Last Update Date | 07/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114537578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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