| Integrated Care Clinic | |
|
780 Summer St Stamford CT 06901-1089 | |
| (203) 388-1611 | |
| (203) 388-1683 |
| Full Name | Integrated Care Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 780 Summer St, Stamford, Connecticut |
| Authorized Official Name and Position | Ludwig Spinelli (CEO) |
| Authorized Official Contact | 2036963260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care Clinic 982 E Main St Bridgeport CT 06608-1913 Ph: (203) 696-3260 | Integrated Care Clinic 780 Summer St Stamford CT 06901-1089 Ph: (203) 388-1611 |
| NPI Number | 1942574082 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942574082 | NPI | - | NPPES |
| 004234788 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0606 (Connecticut) | Primary |
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