# MANCHESTER MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295683290
- **Authorized official:** GERALD BOISVERT (SENIOR VICE PRESIDENT, FINANCIAL OP)
- **Authorized official phone:** (860) 263-4190

## Contact information

- **Practice address:** 71 HAYNES ST, MANCHESTER, CT 06040-4131
- **Practice address phone:** (860) 647-6824
- **Mailing address:** 1290 SILAS DEANE HWY, 1ST FL - CVO DEPT, WETHERSFIELD, CT 06109-4337
- **Mailing address phone:** (860) 972-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2026
- **Last updated:** 03/17/2026