OrganizationActive
Intercommunity, Inc.
NPI 1962896548 · Federally Qualified Health Center (FQHC) · East Hartford, CT
Provider details
- NPI number
- 1962896548
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Kimberly Beauregard, President & Ceo
- License
- 702 (CT)
Mailing address
111 Founders Plz
East Hartford, CT 06108-3212
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.