Charter Oak Health Center, Inc.

LBN: Charter Oak Health Center, Inc.
Charter Oak Health Center, Inc. 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 Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Charter Oak Health Center, Inc. can be contacted via phone (860) 550-7500, or through Powers, Tim 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: Powers, Tim
Phone: (860) 550-7500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0312 Connecticut

Profile Details

NPI number 1134245350
LBN Legal business name Charter Oak Health Center, Inc.
DBA Doing business as
Authorized official Powers, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Apr 30th, 2024 - about 7 months 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 1134245350 NPPES
Connecticut MEDICAID 004236015

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