| Community Health Center, Inc. | |
|
635 Main St Middletown CT 06457-2718 | |
| (860) 347-6971 | |
| (860) 638-6601 |
| Full Name | Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 635 Main St, Middletown, 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 Department Middletown CT 06457-2718 Ph: (860) 347-6971 | Community Health Center, Inc. 635 Main St Middletown CT 06457-2718 Ph: (860) 347-6971 |
| NPI Number | 1568409365 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568409365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0393 (Connecticut) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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