Intercommunity, Inc.
NPI #1497307573 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1497307573
- Entity Type
- Organization
- Organization Name
- Intercommunity, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTERCOMMUNITY, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 10, 2019
- Last Updated
- Jul 10, 2019
Practice Location
- Address
- 828 SULLIVAN AVE FL 1
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-2093
- Phone
- (860) 569-5900
Authorized Official
- Name
- KIMBERLY L BEAUREGARD
- Title
- CEO
- Phone
- (860) 569-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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