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WINDHAM COMMUNITY MEMORIAL HOSPITAL INC. NPI 1023191467


NPI Information

NPI: 1023191467
Provider Name: WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 07D0095208

Address:
112 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 456-6752
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WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC. is a general acute care hospital in Willimantic, 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. WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC. NPI is 1023191467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

112 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226-045
Phone: (860) 456-6752
Fax: (203) 265-4557

The provider's authorized official is Janice Mackie .
The authorized official title is Vp Of Finance and has the following contact phone number (860) 425-8755.

The CLIA number assigned to this NPI record is 07D0095208 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/21/2006 and was last updated on 4/12/2023.


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
1208M00000XHospitalistNo
2261QC1500XClinic/CenterCommunity Health0061CONNECTICUTNo
3261QE0002XClinic/CenterEmergency Care0061CONNECTICUTNo
4261QP2000XClinic/CenterPhysical Therapy0061CONNECTICUTNo
5261QR0200XClinic/CenterRadiology0061CONNECTICUTNo
6282N00000XGeneral Acute Care Hospital0061CONNECTICUTNo
7363LN0000XNurse PractitionerNeonatalNo
8282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004025110MEDICAIDCONNECTICUT
2H055902OTHERCONNECTICUTHEALTHNET
3004041828MEDICAIDCONNECTICUT
40014138OTHERCOLORADOAETNA
50465969015OTHERCONNECTICUTCIGNA
6TRICAREOTHERCONNECTICUT35175
7H01661OTHERCONNECTICUTOXFORD
8022OTHERCONNECTICUTBLUE CROSS

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: 4/28/2024

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.