OrganizationActive
Charter Oak Health Center, Inc
NPI 1114537578 · Federally Qualified Health Center (FQHC) · Hartford, CT
Provider details
- NPI number
- 1114537578
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Charter Oak Health Center Inc.
- Organization subpart
- Yes
- Authorized official
- Tim Powers, Chief Compliance Officer(860) 550-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Practice location
32 Grand St
Hartford, CT 06106-4608
Phone: (860) 550-7500
Fax: (860) 550-7529
Approximate (ZIP-level) locationGet directions
Mailing address
21 Grand St Ste 1
Hartford, CT 06106-1541
Registry dates
- Enumerated
- 2020-07-31
- Last updated
- 2026-05-08
- Certified
- 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.