ST. MARY'S HOSPITAL
NPI 1356725618
Long Term Care Hospital in Waterbury, CT

NPI Status: Active since July 16, 2015

Contact Information

56 FRANKLIN ST
WATERBURY, CT
ZIP 06706
Phone: (203) 709-8679

Get Directions Reviews

  • Organization
  • Long Term Care Hospital
  • CLIA Number: 07D0099891
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About ST. MARY'S HOSPITAL

This page provides the complete NPI Profile along with additional information for St. Mary's Hospital, a provider established in Waterbury, Connecticut operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1356725618 assigned on July 2015. The practitioner's primary taxonomy code is 282E00000X with license number 3377 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Macdara Tynan M.d (Head Pediatrician)

NPI
1356725618
Provider Name
ST. MARY'S HOSPITAL
Entity Type
Organization
Location Address
56 FRANKLIN ST WATERBURY, CT 06706
Location Phone
(203) 709-8679
Mailing Address
56 FRANKLIN ST WATERBURY, CT 06706
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2015
Last Update Date
07-16-2015
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Long Term Care Hospital

Taxonomy Code
282E00000X
Type
Hospitals
License No.
3377
License State
CT
Taxonomy Description
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MACDARA TYNAN M.D

Authorized Official Title
HEAD PEDIATRICIAN
Authorized Official Phone
(203) 709-8679

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D0099891
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. MATTHEW J. CURRAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Mary's Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ST. MARY'S HOSPITAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356725618
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061421062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 4 + 2 + 1 + 0 + 6 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1356725618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114929379SCOVILL MEDICAL GROUP, PC
Organization
Internal Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-8888
1982679205 BROOKE H KOKUS PA-C
Individual
Physician Assistant56 FRANKLIN ST EMERGENCY DEPARTMENT
WATERBURY, CT 06706
(203) 709-6059
1760430250 MICHAEL C MATZKIN DDS
Individual
Dentist (Oral and Maxillofacial Surgery)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-7055
1710913363 LUCINDA G FINGADO MD
Individual
Emergency Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1154357671 MICHELLE MARIE LACHANCE PA
Individual
Physician Assistant (Medical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1699702357 MICHAEL STEPHEN AJEMIAN MD
Individual
Surgery56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6314
1881623221 RENEY C THOMAS PA
Individual
Physician Assistant (Surgical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6314
1831128305 SHAH NAWAZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6000
1073546271 GORDON PITTARD MD
Individual
Emergency Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1598798704 ANGELA D QUATROCELLI MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1316970627 SANDRA T MICALIZZI APRN
Individual
Nurse Practitioner56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6000
1619900958 ALAN COUTURE MD
Individual
Emergency Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1740213727 MARISSA AMBER VAN HENNIK PA
Individual
Physician Assistant (Medical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1518983329 MICHAEL OLIVER ASHWOOD MD
Individual
Emergency Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1326064197 ROBERT W KUGLER DO
Individual
Emergency Medicine56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1760408538 KURT J MYERS MD
Individual
Emergency Medicine (Pediatric Emergency Medicine)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6004
1962428771 EDWARD A SOLTESZ PA
Individual
Physician Assistant (Surgical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-6314
1144247966 ISABEL MARGUERITE BRODERSEN PA
Individual
Physician Assistant (Medical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-3538
1942227772 OMAIRA VELEZ PA
Individual
Physician Assistant (Medical)56 FRANKLIN ST
WATERBURY, CT 06706
(203) 709-3538
1932119955DR. MARC S EISENBERG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)56 FRANKLIN ST ATTN LABORATORY
WATERBURY, CT 06706
(203) 709-6053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356725618, enumerated in the NPI registry as an "organization" on July 16, 2015

The provider is located at 56 Franklin St Waterbury, Ct 06706 and the phone number is (203) 709-8679

This medical organization specializes in Long Term Care Hospital with taxonomy code 282E00000X

The provider's CLIA number is 07D0099891 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.