| Charter Oak Health Center, Inc. | |
|
175 Main St Hartford CT 06106-1818 | |
| (860) 550-7500 | |
| Not Available |
| Full Name | Charter Oak Health Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 175 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Tim Powers (VP OF COMPLIANCE) |
| Authorized Official Contact | 8605507500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 175 Main St Hartford CT 06106-1818 Ph: (860) 550-7500 |
| NPI Number | 1841937679 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 3870401078 |
|---|---|
| Medicare Enrollment ID | O20221019001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841937679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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