Manchester Memorial Hospital, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

MANCHESTER MEMORIAL HOSPITAL, INC.

Practice address

71 Haynes St
Manchester, CT 06040-4131

Phone

(860) 647-6824

NPI assigned

Mar 17, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerald Boisvert

Title

Senior Vice President, Financial Op

Phone

(860) 263-4190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Manchester Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Manchester, CT
  • NPI 1295695039

  1658864202

  Same PAC ID
• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664

  1658864202

  Same PAC ID

Tax ID family

Manchester Memorial Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manchester Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Manchester, CT
  • NPI 1295695039
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1295683290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "1ST FL - CVO DEPT",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-647-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, FINANCIAL OP",
        "authorized_official_telephone_number": "860-263-4190"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital
• Manchester Memorial Hospital, Inc.
• Manchester Memorial Hospital, Inc.
• Manchester Ophthalmology, LLC
• Manchester Oral and Implant Surgery PLLC
• Manchester Orthopedic Surgery & Sport Medicine

• Health Educator in Manchester, CT
• Providers in Manchester, CT by specialty
• Health Educator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.