NPIMap

Charter Oak Health Center, Inc

A Medicare group practice based in Hartford, CT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3870401078), with 122 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3870401078The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CT
Enrollments
5
Group size
37 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20021210000011 CT Part A Provider - Federally Qualified Health Center (FQHC) 1992750855
O20040220000909 CT Part B Supplier - Clinic/Group Practice 1992750855
O20081029000515 CT Part A Provider - Federally Qualified Health Center (FQHC) 1003078734
O20221019001120 CT Part A Provider - Federally Qualified Health Center (FQHC) 1841937679
O20200814000463 CT Part A Provider - Federally Qualified Health Center (FQHC) 1992750855

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 122

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (122) or whom Care Compare lists as members (37).

Sources for this page