NPIMap

Organization Active NPI

Prenatal Clinic

  • General Acute Care Hospital
  • Willimantic, CT
National Provider Identifier
1689081085
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0061 Issued in CT
Legal business name
PRENATAL CLINIC
Practice address
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone
(860) 456-6821
Fax
(203) 265-4557
NPI assigned
Jul 17, 2014
Organization subpart
Yes
Parent organization
WINDHAM COMMUNITY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Ms. Janice Mackie
Title
Director of Finance/Controller
Phone
(860) 456-6821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0061 CT Primary

Addresses

Primary practice location

112 Mansfield Ave
Willimantic, CT 06226-2045

Mailing address

PO Box 4131
Yalesville, CT 06492-1481
Phone (203) 284-1340

Other identifiers 1

IdentifierTypeStateIssuer
HOSPITAL LICENSE NUMOther0061

National Provider Directory

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

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1689081085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4131",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "064921481",
            "telephone_number": "203-284-1340",
            "fax_number": "203-265-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262045",
            "telephone_number": "860-456-6821",
            "fax_number": "203-265-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENATAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDHAM COMMUNITY MEMORIAL HOSPITAL",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/CONTROLLER",
        "authorized_official_telephone_number": "860-456-6821",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CT",
            "license": "0061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0061",
            "identifier": "HOSPITAL LICENSE NUM",
            "state": null
        }
    ],
    "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 Jul 17, 2014; 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.