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Organization

CATHOLIC MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDRE THERRIEN (CONTROLLER)
(603) 663-8779
Entity
Organization

Contact information

Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
(603) 663-8785
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
(603) 663-8785

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
00646
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
265514
BCBS PSYCH GRP HF1500
NH
05
30213023
NH
Enumeration date
09/16/2006
Last updated
08/22/2020
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