Intercommunity, Inc.
LBN: Intercommunity, Inc.
Intercommunity, Inc. is an health care organization with primary practice located at 281 Main St , East Hartford CT 06118-1823. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Intercommunity, Inc. can be contacted via phone (860) 569-5900, or through Beauregard, Kimberly L via phone (860) 291-1340.
Contact Information
Primary practice address
281 Main St
East Hartford CT 06118-1823
Phone: (860) 569-5900
Fax:
Website:
Authorized official contact:
Name: Beauregard, Kimberly L Licensed Clinical Social Worker (LCSW)
Phone: (860) 291-1340
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 702 | Connecticut |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 702 | Connecticut |
Profile Details
| NPI number | 1588095657 |
|---|---|
| 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 | Nov 27th, 2013 |
| Last updated | Mar 10th, 2015 - about 9 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 | 1588095657 | NPPES |
| Connecticut | MEDICAID | 008047966 |
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