OrganizationActive
Charter Oak Health Center, Inc.
NPI 1003078734 · Federally Qualified Health Center (FQHC) · Hartford, CT
Provider details
- NPI number
- 1003078734
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Charter Oak Health Center Inc.
- Authorized official
- Tim Powers, Chief Compliance Officer
- License
- 00000259 (CT)
Mailing address
21 Grand St
Hartford, CT 06106-1541
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2026-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.