Community Health Center Inc

LBN: Community Health Center Inc
Community Health Center Inc is an health care organization with primary practice located at 675 Main St , Middletown CT 06457-2718. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Podiatric Medicine & Surgery Service Providers / Podiatrist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Center Inc can be contacted via phone (860) 347-6971, or through Patrie, Bain via phone (860) 347-6971.

Contact Information

Primary practice address
675 Main St Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 343-7379
Website:
Map and Directions
Authorized official contact:
Name: Patrie, Bain
Phone: (860) 347-6971

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Dental Providers / General Practice 1223G0001X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1952591851
LBN Legal business name Community Health Center Inc
DBA Doing business as
Authorized official Patrie, Bain
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated May 21st, 2012 - about 14 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 1952591851 NPPES
Connecticut MEDICAID 004236354
Connecticut MEDICAID 004236346
Connecticut MEDICAID 004236338

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