| Intercommunity, Inc. | |
|
828 Sullivan Ave Fl 1 South Windsor CT 06074-2093 | |
| (860) 569-5900 | |
| (860) 310-2127 |
| Full Name | Intercommunity, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 828 Sullivan Ave Fl 1, South Windsor, Connecticut |
| Authorized Official Name and Position | Kimberly L Beauregard (CEO) |
| 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. 828 Sullivan Ave Fl 1 South Windsor CT 06074-2093 Ph: (860) 569-5900 |
| NPI Number | 1497307573 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497307573 | NPI | - | NPPES |
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