Community Health Center Inc

LBN: Community Health Center Inc
Community Health Center Inc is an health care organization with primary practice located at 1 Shaws Cv , New London CT 06320-4902. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, 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) 447-8304, or through Patrie, Bain via phone (860) 347-6971.

Contact Information

Primary practice address
1 Shaws Cv New London CT 06320-4902
Phone: (860) 447-8304
Fax: (860) 443-8720
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 0229 Connecticut
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0229 Connecticut
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1982889309
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 Oct 30th, 2012 - about 12 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 1982889309 NPPES
Connecticut MEDICAID 004236338
Connecticut MEDICAID 004236346
Connecticut MEDICAID 004236354

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