NPIMap

Organization Active NPI

First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manchester, CT
National Provider Identifier
1699732206
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0376 Issued in CT
Legal business name
FIRST CHOICE HEALTH CENTERS, INC.
Practice address
150 N Main St Ste 240
Manchester, CT 06042
Phone
(860) 610-6131
Fax
(860) 290-4142
NPI assigned
Apr 27, 2006
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0376 CT Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

150 N Main St Ste 240
Manchester, CT 06042

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
004236164MedicaidCT

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 CT2 enrollments

Enrollment records 2

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
O20081107000427 CT Part A Provider - Federally Qualified Health Center (FQHC) 2769417609 Practice locations: Manchester, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699732206. Details of each certification follow.

Federally qualified health center certification: CCN 071846

Legal name
FIRST CHOICE HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 14, 2008
Last certification
Nov 14, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1995 in CT
Enrollment address
150 N Main St
Ste 240
Manchester, CT 60422086

Other NPIs with the same Medicare PAC ID 9

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

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
Tax ID family
East Hartford Comm Heal13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 15

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 DirectorDirector Feb 27, 2017
John C Connor Individual Corporate Officer Oct 1, 2009
Connor Duffy Individual Corporate Director Nov 28, 2022
Melissa Seville Individual Corporate Director Jul 23, 2019
Christopher Racuia Individual Corporate Director Nov 23, 2021
Winsome Barnaby Individual Corporate OfficerTreasurer Jun 23, 2014
Corporate DirectorDirector May 19, 2014
Christopher Rucci Individual Corporate Director Jan 26, 2023
Ashoo Sharda Individual Corporate Director Jul 12, 2021
Annmarie Stevenson Individual Corporate DirectorDirector May 15, 1995
Gislaine Ortiz-Jimenez Individual Corporate OfficerVice-Chair Jun 25, 2018
Corporate DirectorDirector Feb 22, 2016
Jeffrey Steele Individual Corporate OfficerCeo Jan 1, 2021 1%
W-2 Managing Employee Jun 20, 2017
Zafar Rashid Individual Corporate DirectorDirector Jul 27, 2015
Wanshenika Lewis Individual W-2 Managing EmployeeBilling Manager Mar 19, 2019
David J McQuade Individual Corporate DirectorBoard Member Oct 1, 2009
Sean Murphy Individual W-2 Managing EmployeeCfo Jan 19, 2021

Practitioners & affiliated clinicians

Practitioners 5

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1699732206",
    "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": "150 N MAIN ST STE 240",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042",
            "telephone_number": "860-610-6131",
            "fax_number": "860-290-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2018-06-08",
        "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": "0376",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Hartford Community Health Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "East Hartford Community Health Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.