Organization · Type 2 NPI
Community Health Center Inc
Federally Qualified Health Center (FQHC) · Middletown, CT
NPI number
1982950473
Active
Practice location
112 Bow Ln
Middletown, CT 06457-4710
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 | 0431 (CT) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1982950473
Community Health Center Inc's National Provider Identifier is 1982950473, 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.