NPIMap

Organization Active NPI

Windham Community Memorial Hospital

  • General Acute Care Hospital
  • Willimantic, CT
National Provider Identifier
1003023482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WINDHAM COMMUNITY MEMORIAL HOSPITAL
Practice address
123 Quarry St
Willimantic, CT 06226-1247
Phone
(860) 465-2620
Fax
(860) 465-2638
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Janice Mackie
Title
Controller
Phone
(860) 456-6844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

123 Quarry St
Willimantic, CT 06226-1247

Mailing address

112 Mansfield Ave
Willimantic, CT 06226-2041
Phone (860) 456-6844

Other identifiers 2

IdentifierTypeStateIssuer
OR2915OtherCTHEALTH NET SCHOOL BASED C
96MSBC070CT01OtherCTBCFP SCHOOL BASED CLINIC

National Provider Directory

National Provider Directory
Tax ID family
Windham Community Memorial Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003023482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262041",
            "telephone_number": "860-456-6844",
            "fax_number": "860-456-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261247",
            "telephone_number": "860-465-2620",
            "fax_number": "860-465-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM COMMUNITY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "860-456-6844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET SCHOOL BASED C",
            "identifier": "OR2915",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCFP SCHOOL BASED CLINIC",
            "identifier": "96MSBC070CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.