Organization
CHARTER OAK HEALTH CENTER, INC.
Active
Parent organization
CHARTER OAK HEALTH CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARTER OAK HEALTH CENTER INC.
Authorized official
MR. TIM POWERS (CHIEF COMPLIANCE OFFICER)
(860) 550-7500
Entity
Organization
Contact information
Practice address
175 MAIN ST, HARTFORD, CT 06106-1818
(860) 550-7500
Mailing address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/08/2026
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