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Organization

PRENATAL CLINIC

Active
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Organization

PRENATAL CLINIC

Active
Parent organization
WINDHAM COMMUNITY MEMORIAL HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
WINDHAM COMMUNITY MEMORIAL HOSPITAL
Authorized official
MS. JANICE MACKIE (DIRECTOR OF FINANCE/CONTROLLER)
(860) 456-6821
Entity
Organization

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6821
(203) 265-4557
Mailing address
PO BOX 4131, YALESVILLE, CT 06492-1481
(203) 284-1340
(203) 265-4557

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0061
CT

Other

Enumeration date
07/17/2014
Last updated
07/17/2014
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