Provider Type Icon

PROSPECT MANCHESTER HOSPITAL INC. NPI 1316394638


NPI Information

NPI: 1316394638
Provider Name: PROSPECT MANCHESTER HOSPITAL, INC.

Other Name: MANCHESTER MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 07D0691953

Address:
71 HAYNES ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-1222
Get Directions

PROSPECT MANCHESTER HOSPITAL, INC. is a general acute care hospital in Manchester, CT. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PROSPECT MANCHESTER HOSPITAL, INC. NPI is 1316394638. The provider is registered as an organization entity type.
The provider Other Name Is Manchester Memorial Hospital.

The provider's business location address is:

71 HAYNES ST
MANCHESTER, CT
ZIP 06040-131
Phone: (860) 646-1222

The provider's authorized official is Robert Jon Elders .
The authorized official title is Secretary and has the following contact phone number (714) 788-1249.

The CLIA number assigned to this NPI record is 07D0691953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 12/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency CareNo
2282N00000XGeneral Acute Care HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.