CHARTER OAK HEALTH CENTER – NPI #1225154446
Clinic/Center

CHARTER OAK HEALTH CENTER is an AHC clinic located in HARTFORD, CT. NPPES has assigned the NPI number 1225154446 to CHARTER OAK HEALTH CENTER on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on May 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARTER OAK HEALTH CENTER below.

NPI Profile for
CHARTER OAK HEALTH CENTER

NPI Number
1225154446
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARTER OAK HEALTH CENTER
Primary location
21 GRAND ST
HARTFORD, CT 06106-1541
Phone: (860) 550-7500 Fax: (860) 550-7501
Mailing address
Same as primary location
Organization Subpart
Yes - CHARTER OAK HEALTH CENTER is subpart of another organization.
Authorized Official
TIM POWERS
CHIEF COMPLIANCE OFFICER
Phone: (860) 550-7500
Updated
Certification Date
May 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARTER OAK HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCT004235992
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QD0000X
- Clinic/Center / Dental
1223G0001X
- Dentist / General Practice		 CT 0312

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.