Charter Oak Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Hartford, Connecticut
1003078734- Practice location
- 75 Main St, Hartford, CT 06106-1806
- Phone
- 860-550-7500
- Fax
- —
- Last updated
- May 8, 2026
Charter Oak Health Center, INC. is a healthcare organization based in Hartford, CT. Charter Oak Health Center, INC. practices in Hartford, CT. The NPI Number for Charter Oak Health Center, INC. is 1003078734 and holds a License No. 00000259 (CT). The current practice location address for Charter Oak Health Center, INC. is 75 Main St, Hartford, CT 06106-1806 and can be reached out via phone at 860-550-7500.
Provider Profile Details
- NPI Number
- 1003078734
- Provider Name
- Charter Oak Health Center, INC.
- Provider Entity Type
- Organization
- Address
- 75 Main St, Hartford, CT 06106-1806
- Phone Number
- 860-550-7500
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- Yes
- Parent Organization
- Charter Oak Health Center INC.
- Authorized Official
- Tim Powers · Chief Compliance Officer · 860-550-7500
- Other Names
- South Park Inn (Other Name)
- Provider Enumeration Date
- June 25, 2008
- Last Update Date
- May 8, 2026
- Certification Date
- May 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Main St
Hartford, CT 06106-1806 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-1806
- Phone Number
- 860-550-7500
Provider Business Mailing Address Details
- Address
- 21 Grand St
Hartford, CT 06106-1541 - City
- Hartford
- State
- CT
- Zip
- 06106-1541
- Phone Number
- 860-550-7500
License Information
- License Number
- 00000259
- License State
- CT
- Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Federally Qualified Health Center (FQHC) providers near Hartford, CT
View all Clinic/Center, Federally Qualified Health Center (FQHC) providers in Hartford →- Charter Oak Health CenterClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1225154446
- Charter Oak Health Center INC.Clinic/Center, Federally Qualified Health Center (FQHC) · NPI 1801049200
- Charter Oak Health Center PharmacyClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1396891404
- Charter Oak Health Center, INCClinic/Center, Federally Qualified Health Center (FQHC) · NPI 1114537578
- Charter Oak Health Center, INC.Clinic/Center, Federally Qualified Health Center (FQHC) · NPI 1134245350
- Charter Oak Health Center, INC.Clinic/Center, Federally Qualified Health Center (FQHC) · NPI 1639331366
Frequently Asked Questions
What is the NPI number of Charter Oak Health Center, INC.?
The NPI number of Charter Oak Health Center, INC. is 1003078734. It was assigned on June 25, 2008 and is currently active in the NPPES registry.
What is the specialty of Charter Oak Health Center, INC.?
Charter Oak Health Center, INC. is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in CT under license number 00000259.
Where does Charter Oak Health Center, INC. practice?
The practice location is 75 Main St, Hartford, CT 06106-1806. The office can be reached at 860-550-7500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003078734 directly on the NPPES registry website.