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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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