Organization
CHARTER OAK HEALTH CENTER
Active
Parent organization
CHARTER OAK HEALTH CENTER INC.
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
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7501
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0312
CT
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235992
—
CT
Enumeration date
03/21/2007
Last updated
05/08/2026
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