NPIMap

Organization Active NPI

The William W Backus Hospital

  • General Acute Care Hospital
  • Norwich, CT
National Provider Identifier
1467517235
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0037 Issued in CT
Legal business name
THE WILLIAM W BACKUS HOSPITAL
Practice address
326 Washington St
Norwich, CT 06360-2740
Phone
(860) 889-8331
Fax
(860) 892-6983
NPI assigned
Dec 22, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Mr. Anthony Mastroianni
Title
Regional VP of Finance
Phone
(860) 889-8331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 0037 CT
General Acute Care Hospital 282N00000X 0037 CT Primary

Addresses

Primary practice location

326 Washington St
Norwich, CT 06360-2740

Mailing address

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Other identifiers 1

IdentifierTypeStateIssuer
4025144MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040316000739 CT Part B Supplier - Clinic/Group Practice 0749170645 Receives reassigned benefits from 571 practitioners
2 other NPIs on this enrollment
Practice locations: Colchester, CT; Willimantic, CT; Waterford, CT; Uncasville, CT; Plainfield, CT; Pawcatuck, CT; Norwich, CT; Ledyard, CT…
O20090821000025 CT Part A Provider - Hospital 0749170645 2 other NPIs on this enrollment
Practice locations: Uncasville, CT; Willimantic, CT; Waterford, CT; Plainfield, CT; Pawcatuck, CT; Norwich, CT; Mystic, CT; Moosup, CT…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467517235. Details of each certification follow.

Hospital certification: CCN 070024

Legal name
THE WILLIAM W BACKUS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 19, 2010
Beds
213
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1891 in CT
Enrollment address
326 Washington St
Norwich, CT 63602740
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
William W Backus HospitalCCN 070024 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lee-Ann Gomes Individual Corporate DirectorBoard of Director Feb 5, 2024
Donna Handley Individual Corporate OfficerPresident Jan 1, 2018
W-2 Managing EmployeePresident Jan 1, 2018
Anita Lee Individual Corporate DirectorBoard of Director Feb 5, 2024
Maria Loscoe Individual Corporate DirectorDirector Oct 22, 2023
W-2 Managing Employee Dec 24, 2017
Anthony a Joyce Individual Corporate DirectorBoard of Director Feb 5, 2024
Mary R Barry Individual Corporate DirectorBoard Member Jun 1, 2016
Hartford Healthcare Corporation Organization, Hartford, CT Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Stephen W Larcen Individual Corporate DirectorBoard Member Jun 1, 2016
Henry Beck Individual Corporate DirectorBoard Member Jan 28, 2019
Mark E Tramontozzi Individual Corporate DirectorBoard Member Jan 28, 2019
Anthony Mastroianni Individual Corporate OfficerCfo, VP of Finance Jan 2, 2017
W-2 Managing Employee Jan 2, 2017
Joanna P Chaurette Individual Corporate DirectorBoard of Director Feb 5, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Practitioners & affiliated clinicians

Practitioners 581

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 581

Affiliated clinicians 864

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 864

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1467517235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602740",
            "telephone_number": "860-889-8331",
            "fax_number": "860-892-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602740",
            "telephone_number": "860-889-8331",
            "fax_number": "860-892-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLIAM W BACKUS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MASTROIANNI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "REGIONAL VP OF FINANCE",
        "authorized_official_telephone_number": "860-889-8331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CT",
            "license": "0037",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4025144",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.