Organization
MANCHESTER MEMORIAL HOSPITAL
Active
Parent organization
EASTERN CONNECTICUT HEALTH NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN CONNECTICUT HEALTH NETWORK
Authorized official
PETER KARL (CEO)
(860) 646-1222
Entity
Organization
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
0048
CT
282N00000X
General Acute Care Hospital
Primary
0048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4025177
—
CT
05
—
4041885
—
CT
Enumeration date
06/03/2006
Last updated
01/23/2015
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