Organization · Type 2 NPI
Community Health Center Inc
Federally Qualified Health Center (FQHC) · Groton, CT
NPI number
1437334851
Active
Practice location
481 Gold Star Hwy, Suite 100
Groton, CT 06340-6702
Fax (860) 405-2140
Mailing address
575 Main St Fl 2, Attn: Credentialing Dpt
Middletown, CT 06457-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0261 (CT) |
| Internal Medicine Physician | 207R00000X | 0261 (CT) |
| Pediatrics Physician | 208000000X | 0261 (CT) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
14 other providers at this address
- DR S D Goldberg LLCMarriage & Family Therapist Groton, CT NPI 1568522514
- KMG Therapy and Consulting LLCClinical Social Worker Groton, CT NPI 1760856181
- Kaileah Christie-Fogg, LLCClinical Social Worker Groton, CT NPI 1780057653
- Kla Kemp, LLCClinical Social Worker Groton, CT NPI 1659713428
- Michelle Bussolotti, LMFTMarriage & Family Therapist Groton, CT NPI 1730400318
- Physical Therapy of Mystic, LLCPhysical Therapist Groton, CT NPI 1245592617
- Anandhi Baleswaren, MDInternal Medicine Physician Groton, CT NPI 1346246444
- Kaileah Christie-Fogg, LCSWSocial Worker Groton, CT NPI 1972849289
- Laurel Anne Wiers, LMFTMarriage & Family Therapist Groton, CT NPI 1376631382
- Maritza Bourassa, LCSWClinical Social Worker Groton, CT NPI 1326055062
- Ron A. Agostini, P.T.Physical Therapist Groton, CT NPI 1952596173
- Susan B. Kohn, F.N.P.Family Nurse Practitioner Groton, CT NPI 1437284395
About NPI 1437334851
Community Health Center Inc's National Provider Identifier is 1437334851, issued on Jan 3, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Groton, CT. The record was last updated on Sep 28, 2012.