| Connecticut Institute For Communities Inc | |
|
120 Main St Fl 4 Danbury CT 06810-7834 | |
| (203) 743-0100 | |
| Not Available |
| Full Name | Connecticut Institute For Communities Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Main St Fl 4, Danbury, Connecticut |
| Authorized Official Name and Position | Katherine Curran (PRESIDENT & CEO) |
| Authorized Official Contact | 2037439760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Institute For Communities Inc 120 Main St Fl 4 Danbury CT 06810-7834 Ph: (203) 743-9760 | Connecticut Institute For Communities Inc 120 Main St Fl 4 Danbury CT 06810-7834 Ph: (203) 743-0100 |
| NPI Number | 1780918045 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3779623228 |
|---|---|
| Medicare Enrollment ID | O20091215000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780918045 | NPI | - | NPPES |
| 071932 | Other | CT | MEDICARE PART A |
| D100016981 | Other | CT | MEDICARE PART B |
| 008004668 | Medicaid | CT | |
| 071851 | Other | CT | MEDICARE PART A |
| 071921 | Other | CT | MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0508 (Connecticut) | Primary |
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