Organization
COMMUNITY HEALTH CENTER INC.
Active
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
263 MAIN ST, 2ND FLOOR, OLD SAYBROOK, CT 06475-2326
(860) 388-4433
(860) 388-4434
Mailing address
575 MAIN ST 2ND FLOOR, ATTN: CREDENTIALING DEPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0055
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
Enumeration date
08/30/2012
Last updated
08/30/2012
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