NPIMap

Organization Active NPI

First Choice Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manchester, CT
National Provider Identifier
1992111579
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0627 Issued in CT
Legal business name
FIRST CHOICE HEALTH CENTERS, INC.
Practice address
791 Middle Tpke W
Howell Cheney Technical High School
Manchester, CT 06040-1819
Phone
(860) 649-5396
Fax
(860) 290-4142
NPI assigned
Jul 3, 2014
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 0627 CT Primary

Addresses

Primary practice location

791 Middle Tpke W
Howell Cheney Technical High School
Manchester, CT 06040-1819

Mailing address

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

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 CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150729008710 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 1992111579. Details of each certification follow.

Federally qualified health center certification: CCN 071913

Legal name
FIRST CHOICE HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 15, 2015
Last certification
Sep 15, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1995 in CT
Enrollment address
791 West Middle Turnpike
Manchester, CT 6040

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

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 Director Feb 27, 2017
John C Connor Individual Corporate OfficerBoard President Jul 1, 2014
Corporate DirectorBoard Member Jul 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 OfficerBoard Treasurer Jul 1, 2014
Corporate DirectorBoard Member Apr 1, 2014
Christopher Rucci Individual Corporate Director Jan 26, 2023
Ashoo Sharda Individual Corporate Director Jul 12, 2021
Annmarie Stevenson Individual Corporate OfficerBoard Secretary Oct 1, 2011
Corporate DirectorBoard Member Jul 1, 1995
Gislaine Ortiz-Jimenez Individual Corporate Director Feb 22, 2016
Jeffrey Steele Individual Corporate OfficerCeo Jun 20, 2017
Zafar Rashid Individual Corporate OfficerBoard Chair Jul 27, 2015
Corporate Director Jul 27, 2015
Wanshenika Lewis Individual W-2 Managing EmployeeBilling Manager Mar 11, 2019
David J McQuade Individual Corporate DirectorBoard Member Mar 1, 2010
Sean Murphy Individual W-2 Managing EmployeeChief Financial Officer Jan 19, 2021

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1992111579",
    "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": "791 MIDDLE TPKE W",
            "address_2": "HOWELL CHENEY TECHNICAL HIGH SCHOOL",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060401819",
            "telephone_number": "860-649-5396",
            "fax_number": "860-290-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2016-12-05",
        "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": "0627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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.