Organization
NATCHAUG HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL V MALONEY (CFO)
(860) 456-1311
Entity
Organization
Contact information
Practice address
189 STORRS ROAD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 450-0165
Mailing address
189 STORRS ROAD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 450-0165
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
H0003
CT
283Q00000X
Psychiatric Hospital
Primary
H0003
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025276
—
CT
05
—
004041992
—
CT
05
—
004121159
—
CT
01
—
069
ANTHEM BC BS
CT
Enumeration date
10/31/2006
Last updated
04/10/2013
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