CHARTER OAK HEALTH CENTER, INC (NPI# 1114537578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114537578 |
| Entity Type | Organization |
| Organization Name | CHARTER OAK HEALTH CENTER, INC |
| Practice Address |
32 Grand St Hartford CT 06106-4658 |
| Mailing Address |
21 Grand St Ste 1 Hartford CT 06106-1541 |
| Practice Telephone | 8605507500 |
| Practice Fax Number | 8605507529 |
| Mailing Telephone | 8605507500 |
| Mailing Fax Number | 8605507529 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | TIM POWERS (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 8605507500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710148440 | Charter Oak Health Center, Inc | Clinic/Center | 282 Washington St, Hartford, CT 06106-3322 | 2008-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHARTER OAK HEALTH CENTER, INC. | 21 Grand Street, Hartford, CT 06106 |
| Street Address |
32 GRAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-4658 |
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 |
| 1093274771 | Charter Oak Health Center, Inc. | Clinic/Center | 1755 Park St, Hartford, CT 06106-2160 | 2019-03-13 |
| 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 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on CHARTER OAK HEALTH CENTER, INC.
| 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.