Intercommunity, Inc.
LBN: Intercommunity, Inc.
Intercommunity, Inc. is an health care organization with primary practice located at 281 Main Street , East Hartford CT 06118-1883. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Intercommunity, Inc. can be contacted via phone (860) 569-5900, or through Beauregard, Kimberly L via phone (860) 569-5900.
Contact Information
Primary practice address
281 Main Street
East Hartford CT 06118-1883
Phone: (860) 569-5900
Fax: (860) 569-5614
Website:
Authorized official contact:
Name: Beauregard, Kimberly L Licensed Clinical Social Worker (LCSW)
Phone: (860) 569-5900
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | C0178 | Connecticut |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 702 | Connecticut |
Profile Details
NPI number | 1073548533 |
---|---|
LBN Legal business name | Intercommunity, Inc. |
DBA Doing business as | |
Authorized official | Beauregard, Kimberly L Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073548533 | NPPES |
Connecticut | MEDICAID | 004050993 | |
Connecticut | Other | 312837 | |
Connecticut | MEDICAID | 008047966 |
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