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Contact Information

MANCHESTER MEMORIAL HOSPITAL
320 MAIN ST
MANCHESTER, CT06040-4144
 Phone: 860-646-1222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MANCHESTER MEMORIAL HOSPITAL

NPI # 1154364016
LBN Legal business name MANCHESTER MEMORIAL HOSPITAL
Authorized official PETER KARL - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/14/2006
Last updated 01/26/2015 - About 11 years ago
Identifiers
CT License # 0048
CT Medicaid 7228711
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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