Charter Oak Health Center, Inc. in Hartford - Federally Qualified Health Center (fqhc)
Charter Oak Health Center, Inc. - NPI 1992750855
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 1992750855. The last update date is 2014-06-02.
Charter Oak Health Center, Inc.'s current location address is 21 Grand St, Hartford, Connecticut. You can contact this provider via phone number 8605507500. The mailing address for Charter Oak Health Center, Inc. is 21 Grand St, Hartford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charter Oak Health Center, Inc. |
|---|---|
| Address | 21 Grand St, Hartford, Connecticut |
| Phone Number | 8605507500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Semple David |
| Telephone Number | 8605507500 |
NPI Number Detail
| NPI Number | 1992750855 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2014-06-02 |
Provider Mailing Address Detail
| Address | 21 Grand St |
|---|---|
| City | Hartford |
| State | Connecticut (CT) |
| Post Code | 61061541 |
| 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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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 1992750855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Charter Oak Health Center, Inc. located?
The Charter Oak Health Center, Inc. is located at 21 Grand St, Hartford, CT 61061541.
What is Charter Oak Health Center, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charter Oak Health Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992750855 to Charter Oak Health Center, Inc.?
The Charter Oak Health Center, Inc. received its 1992750855 assignment from the Centers for Medicare & Medicaid Services on 2006-05-22.
As of what date were the Charter Oak Health Center, Inc.'s details last updated?
The information pertaining to the Charter Oak Health Center, Inc., including its address, specialty, and other details, was most recently updated on 2014-06-02.
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