Organization
COMMUNITY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET FLINTER APRN (VP/CLINICAL DIRECTOR)
(860) 347-6971
Entity
Organization
Contact information
Practice address
395 N MAIN ST, BRISTOL, CT 06010-4924
(860) 585-5000
(860) 585-5050
Mailing address
575 MAIN ST 2ND FLOOR, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
01
—
071862
MEDICARE PTAN
CT
Enumeration date
10/06/2009
Last updated
02/05/2013
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