Charter Oak Health Center, Inc. in Hartford - Federally Qualified Health Center (fqhc)
Charter Oak Health Center, Inc. - NPI 1669633392
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 1669633392. The last update date is 2008-12-05.
Charter Oak Health Center, Inc.'s current location address is 118 Main St, Hartford, Connecticut. You can contact this provider via phone number 8605507500. The mailing address for Charter Oak Health Center, Inc. is 118 Main St, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charter Oak Health Center, Inc. |
|---|---|
| Address | 118 Main 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 | 1669633392 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-12-05 |
Provider Mailing Address Detail
| Address | 118 Main St |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61061817 |
| 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 | -- |
Post Comment/ Review Below
What is the Charter Oak Health Center, Inc.'s unique identification number?
The Charter Oak Health Center, Inc. has been assigned the NPI (National Provider Identifier) Number 1669633392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Charter Oak Health Center, Inc.?
The Charter Oak Health Center, Inc. is situated at 118 Main St, in the city of Hartford, state of CT, with the zip code 61061817.
What is the Charter Oak Health Center, Inc.'s area of specialization and corresponding taxonomy classification?
The Charter Oak Health Center, Inc.'s specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1669633392 to Charter Oak Health Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1669633392 to Charter Oak Health Center, Inc. on 2008-06-25.
When was the information pertaining to Charter Oak Health Center, Inc. most recently updated or revised?
The details related to Charter Oak Health Center, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-12-05.