# PRENATAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINDHAM COMMUNITY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689081085
- **Legal business name:** WINDHAM COMMUNITY MEMORIAL HOSPITAL
- **Authorized official:** MS. JANICE MACKIE (DIRECTOR OF FINANCE/CONTROLLER)
- **Authorized official phone:** (860) 456-6821

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0061 | CT | Yes |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 07/17/2014