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Community Health Center Inc.

Organization Active NPI Federally Qualified Health Center (FQHC) · Old Saybrook, CT

NPI 1740539162 · NPPES record last updated Aug 30, 2012

Key facts

NPI
1740539162
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
0055 (CT)
Legal business name
COMMUNITY HEALTH CENTER INC.
Practice address
263 Main St
2ND Floor
Old Saybrook, CT 06475-2326
Phone
(860) 388-4433
Fax
(860) 388-4434
NPI assigned
Aug 30, 2012
Organization subpart
No

Authorized official

Name
Margaret Flinter, APRN PHD
Title
SVP/Clinical Director
Phone
(860) 347-6971

Corporate family (same tax ID) 29

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

View all 29

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Community Health Center (30 organizations share this tax ID)

Locations

263 Main St
Fl 2
Old Saybrook, CT 06475
Phone (860) 388-4433

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0055 CT Yes

Addresses

Primary practice location

263 Main St
2ND Floor
Old Saybrook, CT 06475-2326

Mailing address

575 Main St 2ND Floor
Attn: Credentialing Dept
Middletown, CT 06457-2845
Phone (860) 347-6971

Other identifiers

IdentifierTypeStateIssuer
004236354MedicaidCT

Other providers in Old Saybrook, CT

All providers in Old Saybrook, CT · Federally Qualified Health Center (FQHC) in Connecticut

Sources for this page

Verify at the official NPI Registry.