Organization
THE WILLIAM W BACKUS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MASTROIANNI (REGIONAL VP OF FINANCE)
(860) 889-8331
Entity
Organization
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 823-6329
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 823-6329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
282N00000X
General Acute Care Hospital
Primary
0037
CT
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4041851
—
CT
Enumeration date
04/26/2006
Last updated
04/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us