| Immaculate Conception Shelter | |
|
574 Park St Hartford CT 06106-4617 | |
| (860) 550-7500 | |
| Not Available |
| Full Name | Immaculate Conception Shelter |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 574 Park St, Hartford, Connecticut |
| Authorized Official Name and Position | Alfreda Turner (PRESIDENT AND CEO) |
| Authorized Official Contact | 8605507500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Conception Shelter 574 Park St Hartford CT 06106-4617 Ph: (860) 550-7500 | Immaculate Conception Shelter 574 Park St Hartford CT 06106-4617 Ph: (860) 550-7500 |
| NPI Number | 1073774709 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 12/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073774709 | NPI | - | NPPES |
| 004236007 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 00000259 (Connecticut) | Primary |
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› Verified 2 days ago
South Park Inn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Grand St, Hartford, CT 06106 Phone: 860-550-7500 | |
Trinity Health Of New England Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Saint Francis Medical Group Inc., Hartford, CT 06105 Phone: 860-714-1325 Fax: 860-714-8078 | |
Connecticut Gi Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Seymour St, 1000, Hartford, CT 06106 Phone: 860-246-2571 Fax: 860-246-3691 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 |