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
51 N ELM ST, WATERBURY, CT 06702-1511
(203) 574-4000
(203) 574-4003
Mailing address
575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457-2845
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
Enumeration date
07/02/2012
Last updated
07/02/2012
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