Charter Oak Health Center Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

0259 Issued in CT

Legal business name

CHARTER OAK HEALTH CENTER INC.

Practice address

21 Grand St
Hartford, CT 06106-1541

Phone

(860) 550-7500

NPI assigned

Oct 29, 2008

Organization subpart

Yes

Parent organization

CHARTER OAK HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Tim Powers

Title

Chief Compliance Officer

Phone

(860) 550-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charter Oak Health Center Mobile Van Other name

Part of

Charter Oak Health Center

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDJDAD

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1801049200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061541",
            "telephone_number": "860-550-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER OAK HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARTER OAK HEALTH CENTER, INC.",
        "enumeration_date": "2008-10-29",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "860-550-7500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": "0259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236007",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Oak Health Center Mobile Van",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lydia Ann Charpentier, RN
• Michael Charry, APRN
• Charter Oak Dental Center LLC
• Charter Oak Health Center
• Charter Oak Health Center
• Charter Oak Health Center Pharmacy
• Charter Oak Health Center, Inc
• Charter Oak Health Center, Inc.
• Charter Oak Health Center, Inc.
• Charter Oak Health Center, Inc.

• All providers in Hartford, CT
• Federally Qualified Health Center (FQHC) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.