Organization · Type 2 NPI
Intercommunity, Inc.
Federally Qualified Health Center (FQHC) · South Windsor, CT
NPI number
1497307573
Active
Practice location
828 Sullivan Ave Fl 1
South Windsor, CT 06074-2093
Fax (860) 310-2127
Mailing address
111 Founders Plz Ste 1802
East Hartford, CT 06108-8301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1497307573
Intercommunity, Inc.'s National Provider Identifier is 1497307573, issued on Jul 10, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in South Windsor, CT. The record was last updated on Jul 10, 2019.