Windham Community Memorial Hospital (NPI# 1023191467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1023191467 |
| Entity Type | Organization |
| Organization Name | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Practice Address |
112 Mansfield Ave Willimantic CT 06226-2045 |
| Practice Telephone | 8604566752 |
| Practice Fax Number | 2032654557 |
| Mailing Address |
112 Mansfield Ave Willimantic CT 06226-2045 |
| Mailing Telephone | 8604258755 |
| Mailing Fax Number | 8608856492 |
| Authorized Official Name | Ms. Janice Mackie (VP OF FINANCE) |
| Authorized Official Telephone | 8604258755 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-04-17 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| No | 261QC1500X | Clinic/Center · Community Health | Ambulatory Health Care Facilities | 0061 | CT |
| No | 261QE0002X | Clinic/Center · Emergency Care | Ambulatory Health Care Facilities | 0061 | CT |
| No | 261QP2000X | Clinic/Center · Physical Therapy | Ambulatory Health Care Facilities | 0061 | CT |
| No | 261QR0200X | Clinic/Center · Radiology | Ambulatory Health Care Facilities | 0061 | CT |
| Yes | 282N00000X | General Acute Care Hospital | Hospitals | ||
| No | 282N00000X | General Acute Care Hospital | Hospitals | 0061 | CT |
| No | 363LN0000X | Nurse Practitioner · Neonatal | Physician Assistants & Advanced Practice Nursing Providers |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| CT | 022 | OTHER | BLUE CROSS |
| CT | H055902 | OTHER | HEALTHNET |
| CT | 004025110 | MEDICAID | |
| CO | 0014138 | OTHER | AETNA |
| CT | 004041828 | MEDICAID | |
| CT | H01661 | OTHER | OXFORD |
| CT | 0465969015 | OTHER | CIGNA |
| CT | TRICARE | OTHER | 35175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720447 | Windham Community Memorial Hospital | General Acute Care Hospital | 355 High St, Willimantic, CT 06226-1306 | 2007-05-16 |
| 1003023482 | Windham Community Memorial Hospital | General Acute Care Hospital | 123 Quarry St, Willimantic, CT 06226-1247 | 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 |
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073720447 | Windham Community Memorial Hospital | General Acute Care Hospital | 355 High St, Willimantic, CT 06226-1306 | 2007-05-16 |
| 1003023482 | Windham Community Memorial Hospital | General Acute Care Hospital | 123 Quarry St, Willimantic, CT 06226-1247 | 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 |
| 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 |
| 1700177706 | Yale-new Haven Hospital | General Acute Care Hospital | 542 George St, Apt 1, New Haven, CT 06511-5302 | 2011-04-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
| Street Address |
112 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400630 | Robert Joseph Bundy | Internal Medicine | 112 Mansfield Ave, Pulmonary Dept., Hatch Wing, Willimantic, CT 06226-2041 | 2005-07-07 |
| 1972108777 | Aaron Shea | Massage Therapist | 112 Mansfield Ave, Willimantic, CT 06226-2040 | 2020-12-01 |
| 1033744289 | Lori Bernier | Social Worker | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2020-03-09 |
| 1720620065 | Alisa B Bray | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2019-10-08 |
| 1194387431 | Marissa Clark | Physician Assistant | 112 Mansfield Ave, Willimantic, CT 06226-2040 | 2019-07-08 |
| 1003301136 | Bethany Joy Kennedy | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226 | 2018-07-01 |
| 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 |
| 1174931687 | Melissa Bohan-hallenbeck | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-07-28 |
| 1689081085 | Prenatal Clinic | General Acute Care Hospital | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-07-17 |
| Find all providers in the same location | ||||
| 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 |
| 1457544728 | Shauna Alison Rago | Nurse Practitioner | 5 Founders Street, Suite 100, Willimantic, CT 06226 | 2007-08-21 |
| 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 |
| Find all providers in zip 06226 | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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| 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.