| Community Health Center Inc | |
|
51 N Elm St Waterbury CT 06702-1511 | |
| (203) 574-4000 | |
| (203) 574-4003 |
| Full Name | Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 51 N Elm St, Waterbury, Connecticut |
| Authorized Official Name and Position | Margaret Flinter (SVP/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 Fl 2 Attn: Credentialing Dpt Middletown CT 06457-2845 Ph: (860) 347-6971 | Community Health Center Inc 51 N Elm St Waterbury CT 06702-1511 Ph: (203) 574-4000 |
| NPI Number | 1972866556 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 0547169138 |
|---|---|
| Medicare Enrollment ID | O20130208000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972866556 | NPI | - | NPPES |
| 004236346 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0632 (Connecticut) | Primary |
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