| Manchester Memorial Hospital, Inc. | |
|
71 Haynes St Manchester CT 06040-4188 | |
| (860) 646-1222 | |
| Not Available |
| Full Name | Manchester Memorial Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Gerald Boisvert (SR VICE PRESIDENT) |
| Authorized Official Contact | 8602634190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Memorial Hospital, Inc. 1290 Silas Deane Hwy Ste 102 Wethersfield CT 06109-4337 Ph: (860) 972-3075 | Manchester Memorial Hospital, Inc. 71 Haynes St Manchester CT 06040-4188 Ph: (860) 646-1222 |
| NPI Number | 1295695039 |
|---|---|
| Provider Enumeration Date | 11/14/2025 |
| Last Update Date | 04/20/2026 |
| Certification Date | 04/20/2026 |
| Medicare PECOS PAC ID | 1658864202 |
|---|---|
| Medicare Enrollment ID | O20251203001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295695039 | NPI | - | NPPES |
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