| First Choice Health Centers, Inc. | |
|
3 Prospect St Vernon CT 06066-3215 | |
| (860) 896-1616 | |
| (860) 896-1743 |
| Full Name | First Choice Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Prospect St, Vernon, Connecticut |
| Authorized Official Name and Position | Eugene A Market (PRESIDENT & CEO) |
| Authorized Official Contact | 8606106131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Health Centers, Inc. 94 Connecticut Boulevard East Hartford CT 06108 Ph: (860) 610-6131 | First Choice Health Centers, Inc. 3 Prospect St Vernon CT 06066-3215 Ph: (860) 896-1616 |
| NPI Number | 1396930459 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 05/01/2017 |
| Medicare PECOS PAC ID | 2769417609 |
|---|---|
| Medicare Enrollment ID | O20081107000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396930459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0458 (Connecticut) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0458 (Connecticut) | Primary |
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