| Community Health Center Inc | |
|
1 Shaws Cv New London CT 06320-4902 | |
| (860) 447-8304 | |
| (860) 443-8720 |
| Full Name | Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Shaws Cv, New London, Connecticut |
| Authorized Official Name and Position | Bain Patrie (CREDENTIALING SPECIALIST) |
| 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 Fl 2 Attn: Credentialing Dpt Middletown CT 06457-2845 Ph: (860) 347-6971 | Community Health Center Inc 1 Shaws Cv New London CT 06320-4902 Ph: (860) 447-8304 |
| NPI Number | 1982889309 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 0547169138 |
|---|---|
| Medicare Enrollment ID | O20080219000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982889309 | NPI | - | NPPES |
| 004236338 | Medicaid | CT | |
| 004236346 | Medicaid | CT | |
| 004236354 | Medicaid | CT |
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