| Community Health Center Inc | |
|
481 Gold Star Hwy Suite 100 Groton CT 06340-6702 | |
| (860) 446-8858 | |
| (860) 405-2140 |
| Full Name | Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 481 Gold Star Hwy, Groton, Connecticut |
| Authorized Official Name and Position | Bain Patrie (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8603476971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Inc 575 Main St Fl 2 Attn: Credentialing Dpt Middletown CT 06457-2845 Ph: (860) 347-6971 | Community Health Center Inc 481 Gold Star Hwy Suite 100 Groton CT 06340-6702 Ph: (860) 446-8858 |
| NPI Number | 1437334851 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 09/28/2012 |
| Medicare PECOS PAC ID | 0547169138 |
|---|---|
| Medicare Enrollment ID | O20080219000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437334851 | NPI | - | NPPES |
| 004236346 | Medicaid | CT |
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