Intercommunity, INC.
Clinic/Center, Student Health in East Hartford, CT. Organization (NPI-2).
NPI number1982120911
StatusActive
Last updated in NPPESAug 22, 2017
Details
- NPI
- 1982120911
- Entity type
- Organization (NPI-2)
- Legal business name
- Intercommunity, INC.
- Organization subpart
- No
- Enumeration date
- Aug 22, 2017
- Last updated
- Aug 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Practice location
40 Butternut DrEast Hartford, CT 06118-1906
Phone 860-569-5900
Mailing address
111 Founders Plz Ste 1802East Hartford, CT 06108-8301
Phone 860-569-5900
Authorized official
Kimberly Beauregard
Ceo/President
8605695900
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