MANCHESTER MEMORIAL HOSPITAL (NPI# 1619011798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619011798 |
| Entity Type | Organization |
| Organization Name | MANCHESTER MEMORIAL HOSPITAL |
| Practice Address |
71 Haynes St Manchester CT 06040-4131 |
| Practice Telephone | 8606461222 |
| Mailing Telephone | 8606461222 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTINE L WHITE (CRISIS COUNSELOR) |
| Authorized Official Telephone | 8606461222 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
000789 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578817763 | Manchester Memorial Hospital | Social Worker | 71 Haynes St, Manchester, CT 06040-4131 | 2012-11-09 |
| 1336404169 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St, Manchester, CT 06040-4131 | 2012-07-09 |
| 1649417643 | Manchester Memorial Hospital | General Acute Care Hospital | 71 Haynes St., Patient Financial Services, Manchester, CT 06040-4105 | 2009-01-13 |
| 1154364016 | Manchester Memorial Hospital | Nurse Practitioner | 320 Main St, Manchester, CT 06040-4144 | 2006-06-14 |
| 1457399198 | Manchester Memorial Hospital | Clinic/Center | 71 Haynes St, Manchester, CT 06040-4131 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MANCHESTER MEMORIAL HOSPITAL | 210 Marie Langdon Dr, Manchester, KY 40962-6388 |
| Street Address |
71 HAYNES ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457893 | Monica Srodon | Specialist | 71 Haynes St, Manchester, CT 06040-4131 | 2005-09-13 |
| 1104443274 | Cynthia Lynn Kaczmarczyk | Occupational Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-07-06 |
| 1225653199 | Nicholas Orion Volaitis Cunningham | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-06-16 |
| 1992327696 | Gavin Michael Hannon | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-15 |
| 1548882830 | Izabela Anna Tomkiewicz | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4188 | 2020-05-11 |
| 1801418041 | Thomas Kim | Family Medicine | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-11 |
| 1508487075 | Michael Chiok | Student in an Organized Health Care Education/Training Program | 71 Haynes St, Manchester, CT 06040-4131 | 2020-05-06 |
| 1124657325 | Jennifer Neri | Physical Therapist | 71 Haynes St, Manchester, CT 06040-4131 | 2020-04-08 |
| 1366077646 | Kylie M Picard | Social Worker | 71 Haynes St, Manchester, CT 06040-4188 | 2020-03-07 |
| 1447884978 | Rachel Ellen Silvester | Physician Assistant | 71 Haynes St, Manchester, CT 06040-4188 | 2020-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506643 | Angela B Flanagan | Counselor | 112 Arnott Rd, Manchester, CT 06040-4529 | 2019-09-10 |
| 1184132094 | Revitalize Counseling Services LLC | Counselor | 2401 Woodland Rd, Manchester, NJ 08759-6135 | 2018-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1770973570 | Naree Thao | Counselor | 910 Dogwood Creek Dr Apt F, Manchester, MO 63021-8565 | 2015-01-31 |
| 1407245269 | Ann M Sullivan | Counselor | 2460 Clarjon Dr, Manchester, MO 63021-7821 | 2015-01-16 |
| 1891038956 | Jaleesa Hernandez Jones | Counselor | 843 Main St Ste 2, Manchester, CT 06040-6041 | 2013-03-27 |
| 1841526324 | Thomas Ray Lawson | Counselor | 621 Henley St, Manchester, TN 37355-2103 | 2009-10-19 |
| 1568646917 | Joan L Nester | Counselor | 1375 Carman Rd, Berean House, Manchester, MO 63021-5600 | 2007-12-20 |
| 1598898686 | Vicki I Simmons | Counselor | 315 Stephanie, Manchester, MO 63011 | 2007-03-14 |
| 1245376250 | Rachel Marie Millonas | Counselor | 741 Ridgeside Dr, C, Manchester, MO 63021-7754 | 2007-01-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on MANCHESTER MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.