Charter Oak Health Center

LBN: Charter Oak Health Center
Charter Oak Health Center is an health care organization with primary practice located at 21 Grand St , Hartford CT 06106-1541. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Charter Oak Health Center can be contacted via phone (860) 550-7500, or through Morrison, Thomas J via phone (860) 550-7500.

Contact Information

Primary practice address
21 Grand St Hartford CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 550-7501
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Thomas J
Phone: (860) 550-7500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0312 Connecticut

Profile Details

NPI number 1225154446
LBN Legal business name Charter Oak Health Center
DBA Doing business as
Authorized official Morrison, Thomas J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 2nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225154446 NPPES
Connecticut MEDICAID 004235992

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