INTERCOMMUNITY, INC. (NPI# 1962896548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962896548 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY, INC. |
| Practice Address |
281 Main St East Hartford CT 06118-1823 |
| Mailing Address |
111 Founders Plz Suite 1802 East Hartford CT 06108-3212 |
| Practice Telephone | 8605695900 |
| Mailing Telephone | 8605695900 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | KIMBERLY BEAUREGARD (PRESIDENT & CEO) |
| Authorized Official Telephone | 8602911340 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
702 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008047966 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497307573 | Intercommunity, Inc. | Clinic/Center | 828 Sullivan Ave Fl 1, South Windsor, CT 06074-2093 | 2019-07-10 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| 1982120911 | Intercommunity, Inc. | Clinic/Center | 40 Butternut Dr, East Hartford, CT 06118-1906 | 2017-08-22 |
| 1588095657 | Intercommunity, Inc. | Clinic/Center | 281 Main St, East Hartford, CT 06118-1823 | 2013-11-27 |
| 1073548533 | Intercommunity, Inc. | Clinic/Center | 281 Main Street, East Hartford, CT 06118-1883 | 2006-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | INTERCOMMUNITY, INC. | 281 Main St, East Hartford, CT 06118 |
| Street Address |
281 MAIN ST |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352629 | Caitlin Putnam | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2020-10-01 |
| 1013526102 | Rachel Ann Mckenzie | Counselor | 281 Main St, East Hartford, CT 06118-1823 | 2020-07-24 |
| 1891320404 | Anthony Veturis | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2020-03-04 |
| 1013564905 | Christie Lee Petrossi | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2019-08-24 |
| 1821558354 | Michael Marrero | Social Worker | 281 Main St, East Hartford, CT 06118-1823 | 2019-03-21 |
| 1841764305 | Vallerie Michelle Hibbert | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2019-01-17 |
| 1851876767 | Jessica Lyn Rees-muniz | Social Worker | 281 Main St, East Hartford, CT 06118-1823 | 2018-09-26 |
| 1669971982 | Victoria Wasilewski | Social Worker | 281 Main St, East Hartford, CT 06118-1823 | 2018-02-02 |
| 1710417357 | Rebecca Rickert | Social Worker | 281 Main St, East Hartford, CT 06118-1823 | 2017-06-15 |
| 1326589847 | Lauren Millerd | Social Worker | 281 Main St, East Hartford, CT 06118-1823 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
| 1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
| 1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
| 1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
| 1972556165 | Hartford Headache Center, LLC | Nurse Practitioner | 144 Main Street, Suite D, East Hartford, CT 06118 | 2006-05-18 |
| 1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
| 1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
| 1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
| 1679734057 | Ronald Verne Hensley | Psychiatry & Neurology | 281 Main Street, East Hartford, CT 06118 | 2008-06-19 |
| 1811109317 | Hal Marshall Dym | Dentist | 170 Main Street, East Hartford, CT 06118 | 2007-05-04 |
| Find all providers in zip 06118 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1891101473 | First Choice Health Centers, Inc. | Clinic/Center | 265 Ellington Road, School Street Plaza, East Hartford, CT 06108 | 2014-07-03 |
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| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1669874855 | First Choice Health Centers, Inc. | Clinic/Center | 20 Maple Street, Maple Street School, Vernon, CT 06066 | 2014-09-19 |
| 1669874087 | First Choice Health Centers, Inc. | Clinic/Center | 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 | 2014-09-17 |
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| 1982950473 | Community Health Center Inc | Clinic/Center | 112 Bow Ln, Middletown, CT 06457-4710 | 2012-08-02 |
| 1760738264 | Community Health Center Inc | Clinic/Center | 1 Labella Cir, Middletown, CT 06457-3938 | 2012-08-02 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.