| Charter Oak Health Center, Inc. | |
|
693 Bloomfield Ave Ste 101 Bloomfield CT 06002-2489 | |
| (860) 550-7500 | |
| (860) 216-4164 |
| Full Name | Charter Oak Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 693 Bloomfield Ave Ste 101, Bloomfield, 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. 693 Bloomfield Ave Ste 101 Bloomfield CT 06002-2489 Ph: (860) 550-7500 |
| NPI Number | 1447719091 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447719091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
David J Domenichini Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002 Phone: 860-561-1007 Fax: 860-561-1222 | |
Roy A. Kellerman, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste A110, Bloomfield, CT 06002 Phone: 860-243-5569 Fax: 860-243-2622 | |
Ellis Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Suite A110, Bloomfield, CT 06002 Phone: 860-243-1864 | |
Joel M. Miller M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Northwestern Dr Ste 300, Bloomfield, CT 06002 Phone: 860-242-6633 Fax: 860-286-8411 | |
E Y Evans Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Building C Suite 130, Bloomfield, CT 06002 Phone: 860-243-3352 Fax: 860-243-3329 | |
Urgent Care Center Of Bloomfield Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 699 Cottage Grove Rd, Bloomfield, CT 06002 Phone: 860-242-0034 Fax: 860-242-3301 |