Active NPI
Generations Family Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Willimantic, CT
National Provider Identifier
1164759015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GENERATIONS FAMILY HEALTH CENTER, INC.
- Practice address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - Phone
- (860) 450-7471
- NPI assigned
- Nov 13, 2009
- Organization subpart
- Yes
- Parent organization
- GENERATIONS FAMILY HEALTH CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra Savoie
- Title
- Cfo
- Phone
- (860) 456-6271
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | 0467 | CT | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0467 | CT |
Addresses
Primary practice location
40 Mansfield Ave
Willimantic, CT 06226-2018
Mailing address
40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235687 | Medicaid | CT | |
| 008003942 | Medicaid | CT | |
| 071809 | Other | CT | MEDICARE OSCAR/CERT |
| 207000480 | Medicaid | CT | |
| 004235695 | Medicaid | CT |
National Provider Directory
National Provider Directory- Part of
- Generations Family Health
Locations
40 Mansfield Ave
Willimantic, CT 06226
Phone (860) 450-7471
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Willimantic, CT
- NPI 1346228905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1164759015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262018",
"telephone_number": "860-450-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262018",
"telephone_number": "860-450-7471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONS FAMILY HEALTH CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENERATIONS FAMILY HEALTH CENTER, INC.",
"enumeration_date": "2009-11-13",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "SAVOIE",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "860-456-6271",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CT",
"license": "0467",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CT",
"license": "0467",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235687",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008003942",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR/CERT",
"identifier": "071809",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207000480",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235695",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.