Organization
COMMUNITY HEALTH CENTER INC
Active
Other names
WYA Homeless Hospitality
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET FLINTER APRN, PHD (SVP/CLINICAL DIRECTOR)
(860) 347-6971
Entity
Organization
Contact information
Practice address
730 STATE PIER RD, NEW LONDON, CT 06320-5862
(860) 439-1573
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
OPCC-23
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
05
—
004236346
—
CT
05
—
004236354
—
CT
Enumeration date
07/17/2014
Last updated
07/17/2014
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