Organization
COMMUNITY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY STANTON (CEO)
(860) 249-9625
Entity
Organization
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1580
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0293
CT
261QD0000X
Dental Clinic/Center
0293
CT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0293
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
299
CT
367A00000X
Advanced Practice Midwife
0293
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235570
—
CT
05
—
004235588
—
CT
05
—
004236099
—
CT
05
—
008031197
—
CT
05
—
008032239
—
CT
Enumeration date
09/14/2006
Last updated
09/16/2013
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