| Inpatient Psych Exempt Unit | |
|
56 Franklin St Waterbury CT 06706-1221 | |
| (203) 709-6000 | |
| Not Available |
| Full Name | Inpatient Psych Exempt Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 56 Franklin St, Waterbury, Connecticut |
| Authorized Official Name and Position | James M Harris (REGIONAL DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 8607144396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Psych Exempt Unit 56 Franklin St Waterbury CT 06706-1221 Ph: (203) 709-6000 | Inpatient Psych Exempt Unit 56 Franklin St Waterbury CT 06706-1221 Ph: (203) 709-6000 |
| NPI Number | 1598795122 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 01/16/2019 |
| Medicare PECOS PAC ID | 7012814924 |
|---|---|
| Medicare Enrollment ID | O20070301000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598795122 | NPI | - | NPPES |
| 19B | Other | CT | ANTHEM BC BS IP PSYCH |
| IR0800 | Other | CT | HEALTHNET PROV NO. |
| 004041760 | Medicaid | CT | |
| H01112 | Other | CT | OXFORD PROV ID NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0055 (Connecticut) | Primary |
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