Community Health Center Inc

LBN: Community Health Center Inc
Community Health Center Inc is an health care organization with primary practice located at 481 Gold Star Hwy Suite 100, Groton CT 06340-6702. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Center Inc can be contacted via phone (860) 446-8858, or through Patrie, Bain via phone (860) 347-6971.

Contact Information

Primary practice address
481 Gold Star Hwy Suite 100 Groton CT 06340-6702
Phone: (860) 446-8858
Fax: (860) 405-2140
Website:
Map and Directions
Authorized official contact:
Name: Patrie, Bain
Phone: (860) 347-6971

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0261 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0261 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0261 Connecticut
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1437334851
LBN Legal business name Community Health Center Inc
DBA Doing business as
Authorized official Patrie, Bain
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Sep 28th, 2012 - about 14 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 1437334851 NPPES
Connecticut MEDICAID 004236346

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