OrganizationActive
Charter Oak Health Center, Inc.
NPI 1841937679 · Federally Qualified Health Center (FQHC) · Hartford, CT
Provider details
- NPI number
- 1841937679
- 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
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Practice location
175 Main St
Hartford, CT 06106-1818
Phone: (860) 550-7500
Approximate (ZIP-level) locationGet directions
Mailing address
21 Grand St
Hartford, CT 06106-1541
Registry dates
- Enumerated
- 2022-05-13
- 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.