OrganizationActive
Charter Oak Health Center Inc.
NPI 1801049200 · Federally Qualified Health Center (FQHC) · Hartford, CT
Provider details
- NPI number
- 1801049200
- 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
- License
- 0259 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
21 Grand St
Hartford, CT 06106-1541
Phone: (860) 550-7500
Approximate (ZIP-level) locationGet directions
Mailing address
21 Grand St
Hartford, CT 06106-1541
Other names (DBA / former)
- Other name
- Charter Oak Health Center Mobile Van
Registry dates
- Enumerated
- 2008-10-29
- 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.