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Contact Information

INTERCOMMUNITY, INC.
16 COVENTRY STREET
HARTFORD, CT06112
 Phone: 860-714-3701
 Fax: 860-714-8974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for INTERCOMMUNITY, INC.

NPI Number 1164580379
LBN Legal business name INTERCOMMUNITY, INC.
Authorized official KIMBERLY BEAUREGARD - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 06/16/2018 - About 8 years ago
Identifiers
CT License # SA-0159
CT License # SA-0201
CT Medicaid 004042065
CT Medicaid 004134730
CT Other CTGA000422 SAGA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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