Charter Oak Health Center, Inc. in Hartford - Federally Qualified Health Center (fqhc)

Charter Oak Health Center, Inc. - NPI 1639331366

Charter Oak Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Hartford, Connecticut. Charter Oak Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Charter Oak Health Center, Inc. is 1639331366. The last update date is 2008-12-05.

Charter Oak Health Center, Inc.'s current location address is 135 Broad St, Hartford, Connecticut. You can contact this provider via phone number 8605507500. The mailing address for Charter Oak Health Center, Inc. is 135 Broad St, Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charter Oak Health Center, Inc.
Address 135 Broad St, Hartford, Connecticut
Phone Number 8605507500
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Turner Alfreda
Telephone Number 8605507500

NPI Number Detail

NPI Number 1639331366
Provider Enumeration Date 2008-06-25
Last Updated Date 2008-12-05

Provider Mailing Address Detail

Address 135 Broad St
City Hartford
State Connecticut (CT)
Post Code 61053701
Phone Number 8605507500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 259
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4236007 CT --

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FAQs about Charter Oak Health Center, Inc.

What is the unique identifier code issued to Charter Oak Health Center, Inc. by the Centers for Medicare & Medicaid Services?

The Charter Oak Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1639331366. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Charter Oak Health Center, Inc.'s physical address?

The Charter Oak Health Center, Inc. is physically located at 135 Broad St, in the city of Hartford, CT, with the postal code 61053701.

What is the area of specialization for Charter Oak Health Center, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Charter Oak Health Center, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639331366 to Charter Oak Health Center, Inc.?

The Charter Oak Health Center, Inc. received its 1639331366 assignment from the Centers for Medicare & Medicaid Services on 2008-06-25.

When was the Charter Oak Health Center, Inc.'s information last updated?

The Charter Oak Health Center, Inc.'s information was last updated on 2008-12-05.

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