Organization
COMMUNITY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MONTGOMERY (INTERIM 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
0676
CT
261QD0000X
Dental Clinic/Center
0676
CT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0676
CT
Other
Enumeration date
10/02/2012
Last updated
06/18/2013
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