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) 663-8757
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
(603) 663-8757
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
00646
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002674
—
NH
01
—
300134
BCBS PSYCH
NH
Enumeration date
09/08/2006
Last updated
04/20/2008
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