| Charter Oak Health Center, Inc. | |
|
1755 Park St Hartford CT 06106-2160 | |
| (860) 550-7586 | |
| (860) 231-9224 |
| Full Name | Charter Oak Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1755 Park St, Hartford, Connecticut |
| Authorized Official Name and Position | Tim Powers (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8605507500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Oak Health Center, Inc. 21 Grand St Hartford CT 06106-1541 Ph: (860) 550-7500 | Charter Oak Health Center, Inc. 1755 Park St Hartford CT 06106-2160 Ph: (860) 550-7586 |
| NPI Number | 1093274771 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093274771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
South Park Inn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Grand St, Hartford, CT 06106 Phone: 860-550-7500 | |
Trinity Health Of New England Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Saint Francis Medical Group Inc., Hartford, CT 06105 Phone: 860-714-1325 Fax: 860-714-8078 | |
Connecticut Gi Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Seymour St, 1000, Hartford, CT 06106 Phone: 860-246-2571 Fax: 860-246-3691 | |
Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Albany Ave, Hartford, CT 06120 Phone: 860-249-9625 Fax: 860-808-1540 | |
Cleanslate Medical Group Of Connecticut Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Gillett St, Hartford, CT 06105 Phone: 615-425-0220 Fax: 413-727-3619 | |
Robert E. Koorse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4303, Hartford, CT 06105 Phone: 860-524-5083 Fax: 860-524-5085 | |
Immaculate Conception Shelter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Park St, Hartford, CT 06106 Phone: 860-550-7500 |