Organization
CONNECTICUT INSTITUTE FOR COMMUNITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KATHERINE CURRAN J.D. (PRESIDENT & CEO)
(203) 743-9760
Entity
Organization
Contact information
Practice address
120 MAIN ST FL 4, DANBURY, CT 06810-7834
(203) 743-0100
Mailing address
120 MAIN ST FL 4, DANBURY, CT 06810-7834
(203) 743-9760
(203) 743-3411
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004668
—
CT
01
—
071851
MEDICARE PART A
CT
01
—
071921
MEDICARE PART A
CT
01
—
071932
MEDICARE PART A
CT
01
—
D100016981
MEDICARE PART B
CT
Enumeration date
09/18/2009
Last updated
02/08/2024
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