DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARTER OAK HEALTH CENTER, INC.

MEDICARE: CHARTER OAK HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0312CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134245350
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARTER OAK HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 21 GRAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1541
Country : US
Telephone Number : 860-550-7500
Fax Number : 860-550-7501
Provider Business Practice Location Address
First Line : 21 GRAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1541
Country : US
Telephone Number : 860-550-7500
Fax Number : 860-550-7501
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : TIM POWERS
Credential :
Telephone Number : 860-550-7500
Provider Enumeration Date : 03/21/2007
Last Update Date : 04/07/2026

Similar Medicare Providers

1992750855 — CHARTER OAK HEALTH CENTER, INC.
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax:
1225154446 — CHARTER OAK HEALTH CENTER
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax: 860-550-7501
1396891404 — CHARTER OAK HEALTH CENTER PHARMACY
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax: 860-550-7508
1558364653 — JENNIFER A COLUCCI APRN
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax: 860-550-7529
1174512255 — MOISES YLDEFONSO SALAS D.D.S, M.P.H
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax: 860-550-7594
1679551170 — DIANA L GREENIA APRN
Practice Location Address:
21 GRAND ST
HARTFORD, CT
06106-1541
Practice Phone: 860-550-7500
Practice Fax: 860-550-7529

Directions to “CHARTER OAK HEALTH CENTER, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.