NPIMap

Organization Active NPI

First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
National Provider Identifier
1215518733
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FIRST CHOICE HEALTH CENTERS, INC.
Practice address
478 Burnside Ave
East Hartford, CT 06108-2425
Phone
(860) 610-6183
NPI assigned
Apr 16, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST CHOICE HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Steele
Title
President & Ceo
Phone
(860) 610-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

478 Burnside Ave
East Hartford, CT 06108-2425

Mailing address

94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 610-6183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211014002801 CT Part A Provider - Federally Qualified Health Center (FQHC) 2769417609 Practice locations: East Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215518733. Details of each certification follow.

Federally qualified health center certification: CCN 071960

Legal name
FIRST CHOICE HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 13, 2021
Last certification
Sep 13, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1995 in CT
Enrollment address
478 Burnside Ave
East Hartford, CT 61082425

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
First Choice Health Centers13 organizations share this tax ID, including this one
Part of
First Choice Health Centers

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

265 Ellington Rd
East Hartford, CT 06108
Phone (860) 569-8800

444 Center St
Manchester, CT 06040
Phone (860) 646-3888

587 Middle Tpke E
Ste A
Manchester, CT 06040

791 Middle Tpke W
Manchester, CT 06040
Phone (860) 610-6191

20 Maple St
Vernon, CT 06066
Phone (860) 647-6592

3 Prospect St
Vernon, CT 06066
Phone (860) 896-1616

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David McKee Individual Corporate Director Jun 1, 2020
Nancy Brennan Individual Corporate Director Oct 26, 2020
John C Connor Individual Corporate Director Jun 1, 1996
Melissa Seville Individual Corporate Officer Jul 23, 2019
Winsome Barnaby Individual Corporate Director Apr 28, 2014
Annmarie Stevenson Individual Corporate Officer Jan 1, 2020
Corporate Director Jan 1, 2020
Gislaine Ortiz-Jimenez Individual Corporate Director Feb 22, 2016
Jeffrey Steele Individual Corporate OfficerPresident & Ceo Jan 1, 2020
W-2 Managing Employee Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Zafar Rashid Individual Corporate Director Jul 27, 2015
David J McQuade Individual Corporate Director Jun 1, 2020

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1215518733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CONNECTICUT BLVD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083013",
            "telephone_number": "860-610-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082425",
            "telephone_number": "860-610-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HEALTH CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE HEALTH CENTERS, INC.",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "860-610-6191"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.