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Organization

DAY KIMBALL HOSPITAL OF WINDHAM COUNTY

Active
Parent organization
DAY KIMBALL HOSPITAL OF WHINDHAM COUNTY
Other names
DAY KIMBALL HOSPITAL PHYSICIAN PRACTICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAY KIMBALL HOSPITAL OF WHINDHAM COUNTY
Authorized official
MR. KYLE KRAMER (CEO)
(860) 928-6541
Entity
Organization

Contact information

Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Mailing address
320 POMFRET ST, SUITE CSB2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
363L00000X
Nurse Practitioner
Primary
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004024931
CT
Enumeration date
10/04/2011
Last updated
04/21/2021
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