WINDHAM COMMUNITY MEMORIAL HOSPITAL


Address: 123 Quarry St, Willimantic, CT 06226-1247
Phone: 8604652620

WINDHAM COMMUNITY MEMORIAL HOSPITAL (NPI# 1003023482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003023482
Entity Type Organization
Organization Name WINDHAM COMMUNITY MEMORIAL HOSPITAL
Practice Address 123 Quarry St
Willimantic
CT 06226-1247
Mailing Address 112 Mansfield Ave
Willimantic
CT 06226-2041
Practice Telephone 8604652620
Practice Fax Number 8604652638
Mailing Telephone 8604566844
Mailing Fax Number 8604566718
Enumeration Date 2007-05-16
Last Update Date 2020-08-22
Authorized Official Name MRS. JANICE MACKIE (CONTROLLER)
Authorized Official Telephone 8604566844
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
CT BCFP SCHOOL BASED CLINIC 96MSBC070CT01 01
CT HEALTH NET SCHOOL BASED C OR2915 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073720447 Windham Community Memorial Hospital General Acute Care Hospital 355 High St, Willimantic, CT 06226-1306 2007-05-16
1629475371 Windham Community Memorial Hospital Nurse Practitioner 112 Mansfield Ave, Willimantic, CT 06226-2045 2014-11-24
1952708794 Windham Community Memorial Hospital Hospitalist 112 Mansfield Ave, Willimantic, CT 06226-2045 2014-11-21
1265860373 Windham Community Memorial Hospital General Acute Care Hospital 141 Tuckie Rd, North Windham, CT 06256-1317 2013-10-29
1477888055 Windham Community Memorial Hospital General Acute Care Hospital 112 Mansfield Ave, Willimantic, CT 06226-2045 2009-10-15
1023191467 Windham Community Memorial Hospital Hospitalist 112 Mansfield Ave, Willimantic, CT 06226-2045 2006-10-21

Office Location

Street Address 123 QUARRY ST
City WILLIMANTIC
State CT
Zip Code 06226-1247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346663408 Kathryn Fahey Social Worker 123 Quarry St, Willimantic, CT 06226-1247 2014-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669962163 Nutmeg Neuropsychology LLC Psychologist 322 Main St Ste 2e-1o, Willimantic, CT 06226 2018-05-10
1104344365 Taylor Girard Social Worker 54-56 Boston Post Road, Willimantic, CT 06226 2017-09-07
1194268490 Donald Diange Pharmacist 1391 Main Street, Willimantic, CT 06226 2016-11-18
1386988954 Gale K Lockland Psychologist 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 2012-11-20
1831343060 Carlita R Baldwin Counselor 366 Ash Street, Unit 4, Willimantic, CT 06226 2008-11-14
1023211190 Joel Lee Reinholtz Physical Therapy Assistant 595 Valley Street, Windham, CT 06226 2007-06-07
1265654719 Mcsweeney Regional Senior Center Clinic/Center 47 Crescent St, Willimantic, CT 06226 2007-05-03
1912012964 John Wescott Stevens Dentist 1581 W Main St, Willmantic, CT 06226 2006-08-20
1801802756 Kathryn Nelson Family Medicine 355 High Street, Willimantic, CT 06226 2006-07-31
1710914379 The Foot Group, LLC Podiatrist 162 A Mansfield Ave, Willimantic, CT 06226 2006-06-27
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073720447 Windham Community Memorial Hospital General Acute Care Hospital 355 High St, Willimantic, CT 06226-1306 2007-05-16
1689081085 Prenatal Clinic General Acute Care Hospital 112 Mansfield Ave, Willimantic, CT 06226-2045 2014-07-17
1477888055 Windham Community Memorial Hospital General Acute Care Hospital 112 Mansfield Ave, Willimantic, CT 06226-2045 2009-10-15
1588800270 Hospitalist Physicians of Eastern Connecticut, LLC General Acute Care Hospital 112 Mansfield Ave, Willimantic, CT 06226-2045 2008-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1164815387 Montefiore Hospital General Acute Care Hospital 15 Berrian Pl, Greenwich, CT 06830-6803 2015-03-12
1316295462 Stamford Hospital General Acute Care Hospital 3 Cedargate Ln, Westport, CT 06880-3759 2012-08-21
1861756256 Day Kimball Hospital General Acute Care Hospital 44 Hillcrest Dr, Vernon, CT 06066-4206 2012-06-29
1174830228 Saint Raphael Hospital General Acute Care Hospital 1450, Chapel Street, Hospital of Saint Raphael, New Haven, CT 06511-2204 2010-09-10
1538485388 University of Pittsburgh Medical Center General Acute Care Hospital 56 Hillside Pl, Apt 2, New Haven, CT 06511-3575 2010-04-19
1255586772 Ynhh General Acute Care Hospital 56,hillside Pl., Apt No.2, New Haven, CT 06511 2008-11-25
1558511626 Hartford Hospital General Acute Care Hospital 350 Russo Dr, Hamden, CT 06518-1757 2008-09-25
1932369907 University of Connecticut Health Center General Acute Care Hospital 263 Farmington Ave # Mc-1119, Farmington, CT 06030-0001 2008-06-13
1316125107 Ruben L Shapiro General Acute Care Hospital 15 Turnberry Ln, Bloomfield, CT 06002-2386 2008-02-05
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Competitor

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City WILLIMANTIC
Zip Code 06226

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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