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CHARTER OAK HEALTH CENTER, INC.
NPI 1073774709
Clinic/Center - Federally Qualified Health Center (FQHC) in Hartford, CT

Active since June 25, 2008
574 PARK ST, HARTFORD, CT 06106(860) 550-7500 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charter Oak Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARTER OAK HEALTH CENTER, INC. (NPI 1073774709) is a healthcare organization registered as a federally qualified health center (fqhc) in Hartford, Connecticut and active in the NPI registry since June 2008. The organization lists Tim Powers, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1073774709
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHARTER OAK HEALTH CENTER, INC.
Location Address574 PARK STHartford, CT 06106-4617
Mailing Address21 Grand StHartford, CT 06106-1541 · (860) 550-7500
Phone(860) 550-7500
Organization SubpartYesParent: Charter Oak Health Center Inc.
Authorized OfficialTim PowersChief Compliance Officer · (860) 550-7500
Enumeration DateJune 25, 2008
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1073774709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CT · 00000259
574 PARK ST, Hartford, CT 06106
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Other Names 1

Other NameImmaculate Conception Shelter

Other Identifiers 1

Medicaid004236007CT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charter Oak Health Center, Inc.'s NPI number?

The NPI number for Charter Oak Health Center, Inc. is 1073774709. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider is also known as Immaculate Conception Shelter.

Where is Charter Oak Health Center, Inc. located?

Charter Oak Health Center, Inc. is located at 574 Park St, Hartford, CT 06106. The listed phone number is (860) 550-7500.

What is Charter Oak Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Charter Oak Health Center, Inc. was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.