Healthcare Provider Details

I. General information

NPI: 1467482539
Provider Name (Legal Business Name): UNITED COMMUNITY AND FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 TOWN STREET
NORWICH CT
06360-2323
US

IV. Provider business mailing address

47 TOWN STREET
NORWICH CT
06360-2323
US

V. Phone/Fax

Practice location:
  • Phone: 860-892-7042
  • Fax: 860-822-4939
Mailing address:
  • Phone: 860-892-7042
  • Fax: 860-822-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0299
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number0299
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0299
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0299
License Number StateCT
# 5
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number0299
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0299
License Number StateCT

VIII. Authorized Official

Name: FRANK MEANEY
Title or Position: CFO
Credential:
Phone: 860-822-4153