Provider Demographics
NPI:1942769492
Name:BRISTOL HOSPITAL INCORPORATED
Entity Type:Organization
Organization Name:BRISTOL HOSPITAL INCORPORATED
Other - Org Name:BRISTOL HOSPITAL IP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, COO, CNO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-585-3041
Mailing Address - Street 1:41 BREWSTER RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-5141
Mailing Address - Country:US
Mailing Address - Phone:860-585-3223
Mailing Address - Fax:
Practice Address - Street 1:41 BREWSTER RD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-5141
Practice Address - Country:US
Practice Address - Phone:860-585-3545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRISTOL HOSPITAL INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-14
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy