FIRST CHOICE HEALTH CENTERS, INC. (NPI# 1811480403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811480403 |
| Entity Type | Organization |
| Organization Name | FIRST CHOICE HEALTH CENTERS, INC. |
| Practice Address |
150 N Main St Ste 230 Manchester CT 06042-2086 |
| Mailing Address |
94 Connecticut Blvd East Hartford CT 06108-3013 |
| Practice Telephone | 8605281359 |
| Practice Fax Number | 8605285180 |
| Mailing Telephone | 8605281359 |
| Mailing Fax Number | 8605285180 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | SHANNON MARIE GORNEAULT (BILLING MANAGER) |
| Authorized Official Telephone | 8606106124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0784 | CT | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236164 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1760877864 | First Choice Health Centers, Inc. | Clinic/Center | 94 Connecticut Boulevard, East Hartford, CT 06108 | 2015-04-06 |
| 1669874855 | First Choice Health Centers, Inc. | Clinic/Center | 20 Maple Street, Maple Street School, Vernon, CT 06066 | 2014-09-19 |
| 1669874087 | First Choice Health Centers, Inc. | Clinic/Center | 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 | 2014-09-17 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| 1215923131 | First Choice Health Centers, Inc. | Clinic/Center | 110 Connecticut Boulevard, East Hartford, CT 06108 | 2005-09-26 |
| 1932732781 | First Choice Health Centers, Inc. | Pharmacy | 110 Connecticut Blvd, East Hartford, CT 06108-0610 | 2020-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FIRST CHOICE HEALTH CENTERS, INC. | 94 Connecticut Boulevard, East Hartford, CT 06108 |
| Street Address |
150 N MAIN ST STE 230 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780006759 | Gentle Dental Associates, LLC | Clinic/Center | 801 Elm St, Manchester, NH 03101-2103 | 2014-01-10 |
| 1972147866 | Sunshine Dental of Manchester | Clinic/Center | 168 Spencer St, Manchester, CT 06040-4616 | 2019-11-04 |
| 1265073563 | North End Dental Care Pllc | Clinic/Center | 1361 Elm St Ste 202, Manchester, NH 03101-1323 | 2019-10-08 |
| 1447715602 | 42 North Dental | Clinic/Center | 238 Tolland Tpke, Manchester, CT 06042-1744 | 2019-02-01 |
| 1891262804 | Lakeside Dental LLC | Clinic/Center | 1051 Western Ave, Manchester, ME 04351-3403 | 2018-10-29 |
| 1659858801 | Manchester Dental Surgery and Implant Center | Clinic/Center | 30 Canton St Ste 12, Manchester, NH 03103-3524 | 2018-07-20 |
| 1467960880 | Robert C. Fromuth Dds Pllc | Clinic/Center | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2018-01-19 |
| 1356854426 | Dr Dental of Manchester PC | Clinic/Center | 460 Elm St, Manchester, NH 03101-2701 | 2017-11-13 |
| 1760905830 | Bh Dental LLC | Clinic/Center | 194 Buckland Hills Dr Ste 1076, Manchester, CT 06042-8785 | 2017-07-20 |
| 1104205707 | Amoskeag Family Dentistry, LLP | Clinic/Center | 316 S Main St, Manchester, NH 03102-4842 | 2015-05-28 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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| 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.