Intercommunity, INC.
Substance Abuse Rehabilitation Facility in Hartford, Connecticut
1164580379- Practice location
- 16 Coventry Street, Hartford, CT 06112
- Phone
- 860-714-3701
- Fax
- 860-714-8974
- Last updated
- June 16, 2018
Intercommunity, INC. is a healthcare organization based in Hartford, CT. Intercommunity, INC. practices in Hartford, CT. The NPI Number for Intercommunity, INC. is 1164580379 and holds a License No. SA-0159 (CT). The current practice location address for Intercommunity, INC. is 16 Coventry Street, Hartford, CT 06112 and can be reached out via phone at 860-714-3701 and via fax at 860-714-8974.
Provider Profile Details
- NPI Number
- 1164580379
- Provider Name
- Intercommunity, INC.
- Provider Entity Type
- Organization
- Address
- 16 Coventry Street, Hartford, CT 06112
- Phone Number
- 860-714-3701
- Fax Number
- 860-714-8974
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Kimberly L Beauregard, LCSW · President & Ceo · 860-291-1340
- Other Names
- Outpatient Counseling Center (Doing Business As)
Intercommunity Recovery Centers (Former Legal Business Name) - Provider Enumeration Date
- December 4, 2006
- Last Update Date
- June 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Coventry Street
Hartford, CT 06112 - City
- Hartford
- State
- Connecticut
- Zip
- 06112
- Phone Number
- 860-714-3701
- Fax Number
- 860-714-8974
Provider Business Mailing Address Details
- Address
- 111 Founders Plaza
Suite 1802
East Hartford, CT 06108 - City
- East Hartford
- State
- CT
- Zip
- 06108
- Phone Number
- 860-714-3701
- Fax Number
- 860-714-8974
License Information
- License Number (1)
- SA-0159
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (2)
- SA-0201
- License State (2)
- CT
- Taxonomy (2)
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Intercommunity, INC.?
The NPI number of Intercommunity, INC. is 1164580379. It was assigned on December 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Intercommunity, INC.?
Intercommunity, INC. is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in CT under license number SA-0159.
Where does Intercommunity, INC. practice?
The practice location is 16 Coventry Street, Hartford, CT 06112. The office can be reached at 860-714-3701 (phone) or 860-714-8974 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164580379 directly on the NPPES registry website.