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MARY LOU STROM PRIMARY CARE CENTER
NPI 1679761027
Clinic/Center - Federally Qualified Health Center (FQHC) in Enfield, CT

Active since October 11, 2007
5 N MAIN ST, ENFIELD, CT 06082(860) 253-9024(860) 253-9124 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lou Strom Primary Care Center NPPES

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

MARY LOU STROM PRIMARY CARE CENTER (NPI 1679761027) is a healthcare organization registered as a federally qualified health center (fqhc) in Enfield, Connecticut and active in the NPI registry since October 2007. The organization lists Bain Patrie, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1679761027
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTER INC
Location Address5 N MAIN STEnfield, CT 06082-3339
Mailing Address575 Main St Fl 2, Attn: Credentialing DeptMiddletown, CT 06457-2845 · (860) 347-6971
Phone(860) 253-9024
Fax(860) 253-9124
Organization SubpartNo
Authorized OfficialBain PatrieCredentialing Specialist · (860) 347-6971
Enumeration DateOctober 11, 2007
Last NPPES UpdateOctober 30, 2012
✔ NPI 1679761027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
5 N MAIN ST, Enfield, CT 06082
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Other Names 1

Other NameMary Lou Strom Primary Care Center

Other Identifiers 3

Medicare PIN071850CT
Medicaid004236338CT
Medicaid004236346CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER BAILEY RESNICK LCSW
Social Worker (Clinical)
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (602) 539-0248
LYNNE E. MANNING DO
Family Medicine
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024
MRS. JESSICA ANGELA NICHOLE FETT APRN
Nurse Practitioner (Family)
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024
JENNY KOSHY APRN
Nurse Practitioner (Family)
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 347-6971
MARY MILLER RN
Registered Nurse
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024
THANDI WALTERS MD
Family Medicine
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024
MARAT GITMAN DO
Internal Medicine
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024
ELIZABETH CESTERO LCSW
Social Worker (Clinical)
5 N MAIN ST
ENFIELD, CT 06082
Capitol Planning Region (860) 253-9024

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 Community Health Center Inc's NPI number?

The NPI number for Community Health Center Inc is 1679761027. It was assigned to this organization in the NPPES registry on October 11, 2007. The provider is also known as Mary Lou Strom Primary Care Center.

Where is Community Health Center Inc located?

Community Health Center Inc is located at 5 N Main St, Enfield, CT 06082. The listed phone number is (860) 253-9024.

What is Community 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 Community Health Center Inc was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.