Community Health Center Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · New London, CT

NPI 1811174261 · NPPES record last updated Jan 29, 2008

Key facts

NPI
1811174261
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER INC
Practice address
1 Shaws CV
New London, CT 06320-4902
Phone
(860) 447-8304
Fax
(860) 443-8720
NPI assigned
Jan 29, 2008
Organization subpart
No

Authorized official

Name
Ms. Bain Patrie
Title
Credentialing Specialist
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 1

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)

Specialties & licenses

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

Addresses

Primary practice location

1 Shaws CV
New London, CT 06320-4902

Mailing address

635 Main St
Attn: Credentialing DPT
Middletown, CT 06457-2718
Phone (860) 347-6971

Other providers in New London, CT

All providers in New London, CT · Federally Qualified Health Center (FQHC) in Connecticut

Sources for this page

Verify at the official NPI Registry.