NPIMap

Organization Active NPI

Manchester Memorial Hospital

  • General Acute Care Hospital
  • Manchester, CT
National Provider Identifier
1649417643
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0048 Issued in CT
Legal business name
MANCHESTER MEMORIAL HOSPITAL
Practice address
71 Haynes St.
Patient Financial Services
Manchester, CT 06040-4105
Phone
(860) 646-1222
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Judy Casey
Title
Behavioral Health Administration Su
Phone
(860) 647-6832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0048 CT Primary

Addresses

Primary practice location

71 Haynes St.
Patient Financial Services
Manchester, CT 06040-4105

Mailing address

36 Haynes St
Manchester, CT 06040-4105
Phone (860) 646-1222

Other identifiers 1

IdentifierTypeStateIssuer
1457399198OtherCTHOSPITAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1649417643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404105",
            "telephone_number": "860-646-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST.",
            "address_2": "PATIENT FINANCIAL SERVICES",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404105",
            "telephone_number": "860-646-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH ADMINISTRATION SU",
        "authorized_official_telephone_number": "860-647-6832"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL",
            "identifier": "1457399198",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.