Organization
GAYLORD HOSPITAL, INC.
Active
Other names
Gaylord Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL IVY MD (CMO)
(203) 284-2800
Entity
Organization
Contact information
Practice address
50 GAYLORD FARM RD, WALLINGFORD, CT 06492-2899
(203) 284-2800
(203) 294-3294
Mailing address
PO BOX 400, WALLINGFORD, CT 06492-7048
(203) 284-2800
(203) 294-3294
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000070029
—
CT
05
—
004025284
—
CT
Enumeration date
05/04/2006
Last updated
09/03/2025
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