WINDHAM COMMUNITY MEMORIAL HOSPITAL NPI 1629475371

NPI Information

NPI: 1629475371
Provider Name: WINDHAM COMMUNITY MEMORIAL HOSPITAL
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Organization

Specialization: Neonatal, Critical Care

Address:
112 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 456-6752
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WINDHAM COMMUNITY MEMORIAL HOSPITAL is a neonatal and critical care nurse practitioner in Willimantic, CT. WINDHAM COMMUNITY MEMORIAL HOSPITAL NPI is 1629475371. 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 M Mackie .
The authorized official title is Financial Officer and has the following contact phone number (860) 425-8755.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 11/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care			Yes

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

NPI Synchronization or Removal

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