CONNECTICUT INSTITUTE FOR COMMUNITIES INC NPI 1780918045

NPI Information

NPI: 1780918045
Provider Name: CONNECTICUT INSTITUTE FOR COMMUNITIES INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 07D1107593

Address:
120 MAIN ST FL 4
DANBURY, CT
ZIP 06810
Phone: (203) 743-0100
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CONNECTICUT INSTITUTE FOR COMMUNITIES INC is a federally qualified health center (fqhc) clinic center in Danbury, CT. CONNECTICUT INSTITUTE FOR COMMUNITIES INC NPI is 1780918045. The provider is registered as an organization entity type.

The provider's business location address is:

120 MAIN ST FL 4
DANBURY, CT
ZIP 06810-834
Phone: (203) 743-0100

The provider's authorized official is James Maloney .
The authorized official title is President & Ceo and has the following contact phone number (203) 743-9760.

The CLIA number assigned to this NPI record is 07D1107593 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2009 and was last updated on 6/11/2020.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	0508	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	008004668	MEDICAID	CONNECTICUT
2	D100016981	OTHER	CONNECTICUT	MEDICARE PART B
3	071851	OTHER	CONNECTICUT	MEDICARE PART A
4	071921	OTHER	CONNECTICUT	MEDICARE PART A
5	071932	OTHER	CONNECTICUT	MEDICARE PART A

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: 11/14/2023

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