Manchester Memoril Hospital Psychiatric

LBN: Manchester Memorial Hospital
Manchester Memoril Hospital Psychiatric is an health care organization with primary practice located at 320 Main St , Manchester CT 06040-4144. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Hospital Units / Psychiatric Unit, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Hospital Units / Psychiatric Unit is the primary health care specialty. Manchester Memorial Hospital can be contacted via phone (860) 646-1222, or through Karl, Peter via phone (860) 646-1222.

Contact Information

Primary practice address
320 Main St Manchester CT 06040-4144
Phone: (860) 646-1222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Karl, Peter
Phone: (860) 646-1222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0048 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0048 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0048 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0048 Connecticut
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0048 Connecticut
Hospital Units / Psychiatric Unit 273R00000X 0048 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1154364016
LBN Legal business name Manchester Memorial Hospital
DBA Doing business as Manchester Memoril Hospital Psychiatric
Authorized official Karl, Peter
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jan 26th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154364016 NPPES
Connecticut MEDICAID 7228711

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