Active NPI
Charter Oak Health Center, Inc.
- Federally Qualified Health Center (FQHC)
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 00000259
- Legal business name
- CHARTER OAK HEALTH CENTER, INC.
- Practice address
- 401 New Britain Ave
Hartford, CT 06106-3833 - Phone
- (860) 241-0890
- NPI assigned
- Jun 25, 2008
- Last updated
- May 8, 2026
- Organization subpart
- Yes
- Parent organization
- CHARTER OAK HEALTH CENTER INC.
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 00000259 | CT | Primary |
Addresses
Primary practice location
401 New Britain Ave
Hartford, CT 06106-3833
Mailing address
401 New Britain Ave
Hartford, CT 06106-3833
Phone (860) 241-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236007 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902068638. Details of each certification follow.
Federally qualified health center certification: CCN 071857
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
- CHARTER OAK HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 19, 2009
- Last certification
- Jun 19, 2009
- Ownership / control type
- For profit – corporation
- Facility address
- 401 New Britain Ave
Hartford, CT 06106
National Provider Directory
National Provider Directory- Part of
- Charter Oak Health Center
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- New Britain, CT
- NPI 1730168634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1902068638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NEW BRITAIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063833",
"telephone_number": "860-241-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NEW BRITAIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063833",
"telephone_number": "860-241-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTER OAK HEALTH CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHARTER OAK HEALTH CENTER INC.",
"enumeration_date": "2008-06-25",
"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": "00000259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236007",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.