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Contact Information

BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
15 RIVERSIDE AVE
BRISTOL, CT06010-6312
 Phone: 860-585-9473
 Fax: 860-314-2054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.

NPI # 1396734109
LBN Legal business name BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
Authorized official CHRIS ANN MEANEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2005
Last updated 10/10/2023 - About 3 years ago
Identifiers
CT Medicaid 004188985
CT Medicaid 004194130
CT Medicaid 004212982
CT Medicaid 004253291
CT Medicaid 004255445
CT Medicaid 004262804
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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