# INTERCOMMUNITY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982120911
- **Authorized official:** KIMBERLY BEAUREGARD (CEO/PRESIDENT)
- **Authorized official phone:** (860) 569-5900

## Contact information

- **Practice address:** 40 BUTTERNUT DR, EAST HARTFORD, CT 06118-1906
- **Practice address phone:** (860) 569-5900
- **Mailing address:** 111 FOUNDERS PLZ STE 1802, EAST HARTFORD, CT 06108-8301
- **Mailing address phone:** (860) 569-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 08/22/2017