Organization · Type 2 NPI
Community Health Center Inc
Federally Qualified Health Center (FQHC) · Middletown, CT
NPI number
1760738264
Active
Practice location
1 Labella Cir
Middletown, CT 06457-3938
Mailing address
575 Main St Fl 2, Attn: Credentialing Dept
Middletown, CT 06457-2845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 0429 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1760738264
Community Health Center Inc's National Provider Identifier is 1760738264, issued on Aug 2, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Middletown, CT. The record was last updated on Aug 2, 2012.