| Lawrence And Memorial Hospital, Inc. | |
|
365 Montauk Avenue New London CT 06320 | |
| (860) 442-0711 | |
| Not Available |
| Full Name | Lawrence And Memorial Hospital, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 365 Montauk Avenue, New London, Connecticut |
| Authorized Official Name and Position | Mary G Messina (SR. REGULATORY REIMBURSEMENT MGR) |
| Authorized Official Contact | 2036888543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence And Memorial Hospital, Inc. 365 Montauk Avenue New London CT 06320 Ph: (860) 442-0711 | Lawrence And Memorial Hospital, Inc. 365 Montauk Avenue New London CT 06320 Ph: (860) 442-0711 |
| NPI Number | 1821152919 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821152919 | NPI | - | NPPES |
| H04961 | Other | OXFORD | |
| XHSP31514 | Medicaid | CA | |
| 97000007 | Medicaid | NC | |
| XHSP41514 | Medicaid | CA | |
| 004041679 | Medicaid | CT | |
| 092591800 | Medicaid | FL | |
| 538520200 | Medicaid | MN | |
| 7002688 | Medicaid | MA | |
| 946704 | Other | CONNECTICARE | |
| 004024972 | Medicaid | CT | |
| 7201672 | Medicaid | MA | |
| 9127 | Other | AETNA | |
| 008 | Other | CT | BLUE CROSS |
| 033921 | Other | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0047 (Connecticut) | Primary |
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