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WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
NPI 1023191467
General Acute Care Hospital in Willimantic, CT

Active since October 21, 2006
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 456-6752(203) 265-4557 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Apr 17, 2020, Apr 3, 2020 and 1 more (4 updates tracked since 2017).

About Windham Community Memorial Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC. (NPI 1023191467) is a healthcare organization registered as a general acute care hospital in Willimantic, Connecticut and active in the NPI registry since October 2006. The organization lists Janice Mackie, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1023191467
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameWINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2045
Mailing Address112 Mansfield AveWillimantic, CT 06226-2045 · (860) 425-8755 · Fax (860) 885-6492
Phone(860) 456-6752
Fax(203) 265-4557
Organization SubpartNo
Authorized OfficialJanice MackieVp Of Finance · (860) 425-8755
Enumeration DateOctober 21, 2006
Last NPPES UpdateApril 12, 20234 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1023191467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CT · 0061
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedHospitalistTaxonomy 208M00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 0061 (CT)
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X · License 0061 (CT)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 0061 (CT)
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X · License 0061 (CT)
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X
112 MANSFIELD AVE, Willimantic, CT 06226
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Other Identifiers 8

Medicaid004025110CT
OtherH055902CT · Healthnet
Medicaid004041828CT
Other0014138CO · Aetna
Other0465969015CT · Cigna
OtherTRICARECT · 35175
OtherH01661CT · Oxford
Other022CT · Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY JOY KENNEDY APRN
Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-9116
MARLENE SCHWARTZ M.D.
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7279
LORI BERNIER LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6793
JESSICA LISE VERCRUYSSE MD
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (904) 265-6850
SAMER T MORCOS MD
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6713
ERIN CURRY BANE DNP CNM
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6796
JESSICA L ST. LOUIS LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6985
THOMAS GILMORE
Emergency Medicine
112 MANSFIELD AVE, WINDHAM HOSPITAL
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (215) 955-9837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windham Community Memorial Hospital, Inc.'s NPI number?

The NPI number for Windham Community Memorial Hospital, Inc. is 1023191467. It was assigned to this organization in the NPPES registry on October 21, 2006.

Where is Windham Community Memorial Hospital, Inc. located?

Windham Community Memorial Hospital, Inc. is located at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-6752.

What is Windham Community Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Windham Community Memorial Hospital, Inc. was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.