| Intercommunity, Inc. | |
|
40 Butternut Dr East Hartford CT 06118-1906 | |
| (860) 569-5900 | |
| Not Available |
| Full Name | Intercommunity, Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 40 Butternut Dr, East Hartford, Connecticut |
| Authorized Official Name and Position | Kimberly Beauregard (CEO/PRESIDENT) |
| Authorized Official Contact | 8605695900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercommunity, Inc. 111 Founders Plz Ste 1802 East Hartford CT 06108-8301 Ph: (860) 569-5900 | Intercommunity, Inc. 40 Butternut Dr East Hartford CT 06118-1906 Ph: (860) 569-5900 |
| NPI Number | 1982120911 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982120911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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