Charter Oak Health Center

LBN: Charter Oak Health Center
Charter Oak Health Center is an health care organization with primary practice located at 21 Grand St , Hartford CT 06106-1541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Charter Oak Health Center can be contacted via phone (860) 550-7500, or through Donahue, Shannon P. via phone (860) 550-7524.

Contact Information

Primary practice address
21 Grand St Hartford CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 550-7529
Website:
Map and Directions
Authorized official contact:
Name: Donahue, Shannon P.
Phone: (860) 550-7524

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0312 Connecticut

Profile Details

NPI number 1053785832
LBN Legal business name Charter Oak Health Center
DBA Doing business as
Authorized official Donahue, Shannon P.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053785832 NPPES
Connecticut MEDICAID 004236007
Connecticut Other 896726

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