Organization · Type 2 NPI
Charter Oak Health Center, Inc.
Federally Qualified Health Center (FQHC) · Hartford, CT
NPI number
1073774709
Active
Practice location
574 Park St
Hartford, CT 06106-4617
Mailing address
21 Grand St
Hartford, CT 06106-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 00000259 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1073774709
Charter Oak Health Center, Inc.'s National Provider Identifier is 1073774709, issued on Jun 25, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hartford, CT. The record was last updated on May 8, 2026.