Organization
INTERCOMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BEAUREGARD (CEO/PRESIDENT)
(860) 569-5900
Entity
Organization
Contact information
Practice address
40 BUTTERNUT DR, EAST HARTFORD, CT 06118-1906
(860) 569-5900
Mailing address
111 FOUNDERS PLZ STE 1802, EAST HARTFORD, CT 06108-8301
(860) 569-5900
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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