MEDICARE: UNITED COMMUNITY AND FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	C-0280	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285852624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED COMMUNITY AND FAMILY SERVICES

Provider Business Mailing Address
First Line	:	47 TOWN ST
Second Line	:
City	:	NORWICH
State	:	CT
Zip	:	06360-2315
Country	:	US
Telephone Number	:	860-892-7042
Fax Number	:	860-892-7043

Provider Business Practice Location Address
First Line	:	21 CHICAGO AVE
Second Line	:
City	:	GROTON
State	:	CT
Zip	:	06340-4907
Country	:	US
Telephone Number	:	860-892-7042
Fax Number	:	860-892-7043

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	JOANNE SMART
Credential	:
Telephone Number	:	860-822-4153

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	02/21/2012

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Directions to “UNITED COMMUNITY AND FAMILY SERVICES ” Practice Location

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