| Middlesex Hospital Psych | |
|
28 Crescent St Middletown CT 06457-3654 | |
| (860) 358-6394 | |
| (860) 358-6748 |
| Full Name | Middlesex Hospital Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 28 Crescent St, Middletown, Connecticut |
| Authorized Official Name and Position | Vincent Capece (CEO EFF 9/1/2010) |
| Authorized Official Contact | 8603586140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Hospital Psych 28 Crescent St Middletown CT 06457-3654 Ph: (860) 358-6394 | Middlesex Hospital Psych 28 Crescent St Middletown CT 06457-3654 Ph: (860) 358-6394 |
| NPI Number | 1982652343 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 5092611731 |
|---|---|
| Medicare Enrollment ID | O20100923000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982652343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 07S020 (Connecticut) | Primary |
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