Organization
FIRST CHOICE HEALTH CENTERS, INC.
Active
Other names
East Hartford Community Health Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE A MARKET (CHIEF EXECUTIVE OFFICER)
(860) 610-6131
Entity
Organization
Contact information
Practice address
92 CONNECTICUT BOULEVARD, EAST HARTFORD, CT 06108
(860) 610-6131
(860) 290-4142
Mailing address
94 CONNECTICUT BOULEVARD, EAST HARTFORD, CT 06108-3013
(860) 610-6131
(860) 290-4142
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0612
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0612
CT
261QM0850X
Adult Mental Health Clinic/Center
0612
CT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0506
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236164
—
CT
Enumeration date
06/10/2016
Last updated
03/16/2017
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