Organization · Type 2 NPI
Charter Oak Health Center, Inc
Federally Qualified Health Center (FQHC) · Hartford, CT
NPI number
1114537578
Active
Practice location
32 Grand St
Hartford, CT 06106-4608
Fax (860) 550-7529
Mailing address
21 Grand St Ste 1
Hartford, CT 06106-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1114537578
Charter Oak Health Center, Inc's National Provider Identifier is 1114537578, issued on Jul 31, 2020. 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.