Windham Community Memorial Hospital, Inc.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.

Practice address

112 Mansfield Ave
Willimantic, CT 06226-2045

Phone

(860) 456-6752

Fax

(203) 265-4557

NPI assigned

Nov 21, 2014

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Janice M Mackie

Title

Director of Finances

Phone

(860) 425-8755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1952708794",
    "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": "860-456-6752",
            "fax_number": "203-265-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCES",
        "authorized_official_telephone_number": "860-425-8755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windham Community Memorial Hospital
• Windham Community Memorial Hospital
• Windham Community Memorial Hospital
• Windham Community Memorial Hospital
• Windham Community Memorial Hospital, Inc.
• Windham Eye Group (Windham Eye Group Optical Shop)
• Windham Eye Group P.C.
• Windham Family Medical Services, PC
• Windham Gi, LLC
• Windham Health & Rehab LLC (Vanderman Place)

• Hospitalist Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Hospitalist Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.