Organization
GENERATIONS FAMILY HEALTH CENTER, INC.
Active
Parent organization
GENERATIONS FAMILY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATIONS FAMILY HEALTH CENTER, INC.
Authorized official
MS. DEBRA SAVOIE (CFO)
(860) 456-6271
Entity
Organization
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
0467
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0467
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235687
—
CT
05
—
004235695
—
CT
05
—
008003942
—
CT
01
—
071809
MEDICARE OSCAR/CERT
CT
05
—
207000480
—
CT
Enumeration date
11/13/2009
Last updated
03/03/2023
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