COMMUNITY HEALTH CENTER INC (NPI# 1982889309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982889309 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER INC |
| Practice Address |
1 Shaws Cv New London CT 06320-4902 |
| Mailing Address |
575 Main St Fl 2 Attn: Credentialing Dpt Middletown CT 06457-2845 |
| Practice Telephone | 8604478304 |
| Practice Fax Number | 8604438720 |
| Mailing Telephone | 8603476971 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MS. BAIN PATRIE (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8603476971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0229 | CT | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 0229 | CT | Podiatric Medicine & Surgery Service Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236354 | 05 | |
| CT | 004236346 | 05 | |
| CT | 004236338 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| 1982950473 | Community Health Center Inc | Clinic/Center | 112 Bow Ln, Middletown, CT 06457-4710 | 2012-08-02 |
| 1760738264 | Community Health Center Inc | Clinic/Center | 1 Labella Cir, Middletown, CT 06457-3938 | 2012-08-02 |
| 1689920183 | Community Health Center Inc | Clinic/Center | 241-249 Arch St, New Britain, CT 06051-2518 | 2012-08-02 |
| 1811243314 | Community Health Center Inc | Clinic/Center | 43 Saint Casimir Dr, Meriden, CT 06450-5729 | 2012-08-02 |
| 1295080877 | Community Health Center Inc | Clinic/Center | 594 Burritt St, New Britain, CT 06053-4803 | 2012-07-19 |
| 1669727277 | Community Health Center Inc | Clinic/Center | 46 N Plains Industrial Rd, Wallingford, CT 06492-2333 | 2012-07-19 |
| 1457822934 | Community Health Center Inc | Clinic/Center | 22 5th St, Stamford, CT 06905-5030 | 2018-12-10 |
| 1972867208 | Community Health Center Inc | Clinic/Center | 51 N Elm St, Waterbury, CT 06702-1511 | 2012-07-02 |
| Street Address |
1 SHAWS CV |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367698 | Romana Primus | Allergy & Immunology | 1 Shaws Cv, New London, CT 06320-4902 | 2005-06-23 |
| 1033731195 | Melissa Hauser | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2020-05-12 |
| 1154972982 | Alyssa Marie Guarino | Dental Hygienist | 1 Shaws Cv, New London, CT 06320-4902 | 2019-09-23 |
| 1124671961 | Samuel Benedict Maynard | Registered Nurse | 1 Shaws Cv, New London, CT 06320-4902 | 2019-07-22 |
| 1154973030 | Madeline Howe | Registered Nurse | 1 Shaws Cv, New London, CT 06320-4902 | 2019-07-11 |
| 1912436361 | Jodi Anderson | Marriage & Family Therapist | 1 Shaws Cv, New London, CT 06320-4902 | 2017-06-08 |
| 1043761794 | Stephanie Howells | Dental Hygienist | 1 Shaws Cv, New London, CT 06320-4902 | 2016-10-18 |
| 1316348519 | Natalie Guarin | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2014-09-08 |
| 1477987535 | Diana Paris | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2013-08-26 |
| 1578818498 | Stephanie Fassu Noulaheu | Registered Nurse | 1 Shaws Cv, New London, CT 06320-4902 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| 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 |
|---|---|---|---|---|
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| 1811174261 | Community Health Center Inc | Clinic/Center | 1 Shaws Cv, New London, CT 06320-4902 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861024 | Staywell Health Care Inc | Clinic/Center | 160 Robbins St Ste 2, Waterbury, CT 06708-2652 | 2020-11-03 |
| 1447719091 | Charter Oak Health Center, Inc. | Clinic/Center | 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002-2489 | 2019-03-13 |
| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 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 |
| 1982950473 | Community Health Center Inc | Clinic/Center | 112 Bow Ln, Middletown, CT 06457-4710 | 2012-08-02 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on COMMUNITY 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.