CHARTER OAK HEALTH CENTER – NPI #1558512590
Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

CHARTER OAK HEALTH CENTER is a managed care organization located in HARTFORD, CT. NPPES has assigned the NPI number 1558512590 to CHARTER OAK HEALTH CENTER on October 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

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
1558512590
Enumeration Date

(more than 17 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:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFERY GAGNON
FINANCIAL DIRECTOR
Phone: (860) 550-7500
Updated
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
MEDICAIDCT004236015
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
305S00000X
- Point of Service (Primary)

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.