INTERCOMMUNITY INC. NPI 1073548533

NPI Information

NPI: 1073548533
Provider Name: INTERCOMMUNITY, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
281 MAIN STREET
EAST HARTFORD, CT
ZIP 06118
Phone: (860) 569-5900
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INTERCOMMUNITY, INC. is a primary care clinic center in East Hartford, CT. INTERCOMMUNITY, INC. NPI is 1073548533. The provider is registered as an organization entity type.

The provider's business location address is:

281 MAIN STREET
EAST HARTFORD, CT
ZIP 06118-883
Phone: (860) 569-5900
Fax: (860) 569-5614

The provider's authorized official is Kimberly L Beauregard .
The authorized official title is Ceo & President and has the following contact phone number (860) 569-5900.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	C0178	CONNECTICUT	No
2	261QP2300X	Clinic/Center	Primary Care	702	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	312837	OTHER		MHN
2	004050993	MEDICAID	CONNECTICUT
3	008047966	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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