CHARTER OAK HEALTH CENTER, INC.


Address: 1755 Park St, Hartford, CT 06106-2160
Phone: 8605507586

CHARTER OAK HEALTH CENTER, INC. (NPI# 1093274771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093274771
Entity Type Organization
Organization Name CHARTER OAK HEALTH CENTER, INC.
Practice Address 1755 Park St
Hartford
CT 06106-2160
Mailing Address 21 Grand St
Hartford
CT 06106-1541
Practice Telephone 8605507586
Practice Fax Number 8602319224
Mailing Telephone 8605507500
Mailing Fax Number 8605507529
Enumeration Date 2019-03-13
Last Update Date 2019-03-19
Authorized Official Name TIM POWERS (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 8605507500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447719091 Charter Oak Health Center, Inc. Clinic/Center 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2489 2019-03-13
1073774709 Charter Oak Health Center, Inc. Clinic/Center 574 Park St, Hartford, CT 06106-4617 2008-06-25
1851552582 Charter Oak Health Center, Inc. Clinic/Center 437 Sheldon St, Hartford, CT 06106-1939 2008-06-25
1912169640 Charter Oak Health Center, Inc. Clinic/Center 34 Huyshope Ave, Hartford, CT 06106-2815 2008-06-25
1396906020 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
1902068638 Charter Oak Health Center, Inc. Clinic/Center 401 New Britain Ave, Hartford, CT 06106-3833 2008-06-25
1669633392 Charter Oak Health Center, Inc. Clinic/Center 118 Main St, Hartford, CT 06106-1817 2008-06-25
1003078734 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
1639331366 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
1922260652 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations CHARTER OAK HEALTH CENTER, INC. 21 Grand Street, Hartford, CT 06106

Office Location

Street Address 1755 PARK ST
City HARTFORD
State CT
Zip Code 06106-2160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
Find all providers in zip 06106

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073774709 Charter Oak Health Center, Inc. Clinic/Center 574 Park St, Hartford, CT 06106-4617 2008-06-25
1851552582 Charter Oak Health Center, Inc. Clinic/Center 437 Sheldon St, Hartford, CT 06106-1939 2008-06-25
1912169640 Charter Oak Health Center, Inc. Clinic/Center 34 Huyshope Ave, Hartford, CT 06106-2815 2008-06-25
1093163883 Community Health Center, Inc Clinic/Center 76 New Britain Ave, Hartford, CT 06106-3305 2016-06-02
1801049200 Charter Oak Health Center Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-10-29
1396906020 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
1902068638 Charter Oak Health Center, Inc. Clinic/Center 401 New Britain Ave, Hartford, CT 06106-3833 2008-06-25
1669633392 Charter Oak Health Center, Inc. Clinic/Center 118 Main St, Hartford, CT 06106-1817 2008-06-25
1003078734 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
1639331366 Charter Oak Health Center, Inc. Clinic/Center 21 Grand St, Hartford, CT 06106-1541 2008-06-25
Find all providers in HARTFORD

Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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