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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOSPITAL LICENSE NUM
0061
—
Enumeration date
07/17/2014
Last updated
07/17/2014
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