Healthcare Provider Details

I. General information

NPI: 1942769492
Provider Name (Legal Business Name): BRISTOL HOSPITAL INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BREWSTER RD
BRISTOL CT
06010-5141
US

IV. Provider business mailing address

41 BREWSTER RD
BRISTOL CT
06010-5141
US

V. Phone/Fax

Practice location:
  • Phone: 860-585-3545
  • Fax:
Mailing address:
  • Phone: 860-585-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS ANN MEANEY
Title or Position: SVP, COO, CNO
Credential: RN
Phone: 860-585-3041