| Manchester Memorial Hospital | |
|
71 Haynes St Manchester CT 06040-4131 | |
| (860) 646-1222 | |
| (860) 647-6831 |
| Full Name | Manchester Memorial Hospital |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Linda Jakoboski (BH ADMINISTRATION SECRETARY) |
| Authorized Official Contact | 8605333494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Memorial Hospital 71 Haynes St Manchester CT 06040-4131 Ph: (860) 646-1222 | Manchester Memorial Hospital 71 Haynes St Manchester CT 06040-4131 Ph: (860) 646-1222 |
| NPI Number | 1578817763 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578817763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002525 (Connecticut) | Primary |
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