Bristol Hospital Multi-specialty Group, Inc. | |
15 Riverside Ave Bristol CT 06010-6312 | |
(860) 585-9473 | |
(860) 314-2054 |
Full Name | Bristol Hospital Multi-specialty Group, Inc. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 15 Riverside Ave, Bristol, Connecticut |
Authorized Official Name and Position | Chris Ann Meaney (PRESIDENT) |
Authorized Official Contact | 8605853041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bristol Hospital Multi-specialty Group, Inc. Po Box 2828 Bristol CT 06011-2828 Ph: (860) 585-3906 | Bristol Hospital Multi-specialty Group, Inc. 15 Riverside Ave Bristol CT 06010-6312 Ph: (860) 585-9473 |
NPI Number | 1396734109 |
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Provider Enumeration Date | 10/14/2005 |
Last Update Date | 10/10/2023 |
Certification Date | 10/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396734109 | NPI | - | NPPES |
004188985 | Medicaid | CT | |
004194130 | Medicaid | CT | |
004253291 | Medicaid | CT | |
004262804 | Medicaid | CT | |
004255445 | Medicaid | CT | |
004212982 | Medicaid | CT |
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