Healthcare Provider Details

I. General information

NPI: 1164986048
Provider Name (Legal Business Name): CONNECTICUT INSTITUTE FOR COMMUNITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
DANBURY CT
06810-7832
US

IV. Provider business mailing address

120 MAIN ST FL 4
DANBURY CT
06810-7834
US

V. Phone/Fax

Practice location:
  • Phone: 203-743-0100
  • Fax:
Mailing address:
  • Phone: 203-743-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE M CURRAN
Title or Position: COO
Credential:
Phone: 203-743-0100