| Community Health Center Inc. | |
|
395 N Main St Bristol CT 06010-4924 | |
| (860) 585-5000 | |
| (860) 585-5050 |
| Full Name | Community Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 395 N Main St, Bristol, Connecticut |
| Authorized Official Name and Position | Margaret Flinter (VP/CLINICAL DIRECTOR) |
| 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 2nd Floor Attn: Credentialing Dpt Middletown CT 06457-2718 Ph: (860) 347-6971 | Community Health Center Inc. 395 N Main St Bristol CT 06010-4924 Ph: (860) 585-5000 |
| NPI Number | 1356676514 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 0547169138 |
|---|---|
| Medicare Enrollment ID | O20091215000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356676514 | NPI | - | NPPES |
| 004236346 | Medicaid | CT | |
| 071862 | Other | CT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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