Organization
MANCHESTER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY CASEY (BEHAVIORAL HEALTH ADMINISTRATION SU)
(860) 647-6832
Entity
Organization
Contact information
Practice address
71 HAYNES ST., PATIENT FINANCIAL SERVICES, MANCHESTER, CT 06040-4105
(860) 646-1222
Mailing address
36 HAYNES ST, MANCHESTER, CT 06040-4105
(860) 646-1222
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0048
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457399198
HOSPITAL
CT
Enumeration date
01/13/2009
Last updated
01/13/2009
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