| Community Health Center Inc | |
|
5 N Main St Mary Lou Strom Primary Care Center Enfield CT 06082-3372 | |
| (860) 253-9024 | |
| (860) 253-9593 |
| Full Name | Community Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5 N Main St, Enfield, Connecticut |
| Authorized Official Name and Position | Bain Patrie (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8603476971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Inc 635 Main St Attn: Credentialing Dpt Middletown CT 06457-2718 Ph: (860) 347-6971 | Community Health Center Inc 5 N Main St Mary Lou Strom Primary Care Center Enfield CT 06082-3372 Ph: (860) 253-9024 |
| NPI Number | 1720265176 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720265176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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