Organization
CHARTER OAK HEALTH CENTER, INC.
Active
Parent organization
CHARTER OAK HEALTH CENTER INC.
Other names
A I Prince Technical School
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARTER OAK HEALTH CENTER INC.
Authorized official
TIM POWERS (CHIEF COMPLIANCE OFFICER)
(860) 550-7500
Entity
Organization
Contact information
Practice address
401 FLATBUSH AVE, HARTFORD, CT 06106-3757
(860) 550-7500
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
00000259
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236007
—
CT
Enumeration date
06/25/2008
Last updated
05/08/2026
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