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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Charter Oak Health Center, Inc. can be contacted via phone (860) 550-7500, or through Semple, David via phone (860) 550-7500.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 0259 | Connecticut |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0312 | Connecticut |
Profile Details
| NPI number | 1992750855 |
|---|---|
| LBN Legal business name | Charter Oak Health Center, Inc. |
| DBA Doing business as | |
| Authorized official | Semple, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jun 2nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992750855 | NPPES |
| Connecticut | MEDICAID | 004236007 |
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