NPIMap

Organization Active NPI

First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vernon, CT
National Provider Identifier
1669874087
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0735 Issued in CT
Legal business name
FIRST CHOICE HEALTH CENTERS, INC.
Practice address
70 Loveland Hill Road
Rockville High School
Vernon, CT 06066
Phone
(860) 647-6591
Fax
(860) 290-4142
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Eugene A Market
Title
Ceo
Phone
(860) 610-6131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0735 CT Primary

Addresses

Primary practice location

70 Loveland Hill Road
Rockville High School
Vernon, CT 06066

Mailing address

94 Connecticut Boulevard
East Hartford, CT 06108
Phone (860) 610-6131

Other names 1

  • East Hartford Community Health Care, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000447 CT Part B Supplier - Clinic/Group Practice 2769417609 Receives reassigned benefits from 95 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manchester, CT; Vernon, CT; East Hartford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669874087. Details of each certification follow.

  • CCN 071915 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 071915

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FIRST CHOICE HEALTH CENTER, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2015
Last certification
Sep 21, 2015
Ownership / control type
For profit – corporation
Facility address
70 Loveland Hill Road
Vernon, CT 06066

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

70 Loveland Hill Rd
Vernon Rockville, CT 06066
Phone (860) 647-6591

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1669874087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CONNECTICUT BOULEVARD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108",
            "telephone_number": "860-610-6131",
            "fax_number": "860-290-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LOVELAND HILL ROAD",
            "address_2": "ROCKVILLE HIGH SCHOOL",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-647-6591",
            "fax_number": "860-290-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "MARKET",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-610-6131"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": "0735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hartford Community Health Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.