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Organization
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
Active
Organization
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MACKIE (VP OF FINANCE)
(860) 425-8755
Entity
Organization
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6752
(203) 265-4557
Mailing address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 425-8755
(860) 885-6492
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
261QC1500X
Community Health Clinic/Center
0061
CT
261QE0002X
Emergency Care Clinic/Center
0061
CT
261QP2000X
Physical Therapy Clinic/Center
0061
CT
261QR0200X
Radiology Clinic/Center
0061
CT
282N00000X
General Acute Care Hospital
0061
CT
282N00000X
General Acute Care Hospital
Primary
—
NULL
363LN0000X
Neonatal Nurse Practitioner
—
NULL
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Enumeration date
10/21/2006
Last updated
04/12/2023
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