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: October 18, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Windham Community Memorial Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

301

Medicare enrollment records show 301 clinicians reassign Medicare billing to Windham Community Memorial Hospital, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 97 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner49
Internal Medicine46
Psychiatry46
Clinical Social Worker30
Hematology/Oncology16
Neurology12
Hospitalist10
General Surgery9
25 other specialties83

Nearest to this location (20)

See all 301
Nurse Practitioner
NPI 1720620065
112 MANSFIELD AVE
Willimantic, CT 06226
(860) 456-9116
✔ PECOSSame address
Pulmonary Disease
NPI 1962400630
112 MANSFIELD AVE PULMONARY DEPT., HATCH WING
Willimantic, CT 06226
(860) 456-7279
✔ PECOSSame address
Nurse Practitioner
NPI 1699062505
112 MANSFIELD AVE
Willimantic, CT 06226
(860) 974-1976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730477761
112 MANSFIELD AVE
Willimantic, CT 06226
(203) 284-1340
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1316426349
112 MANSFIELD AVE
Willimantic, CT 06226
(860) 465-2350
✔ PECOSSame address
Clinical Social Worker
NPI 1346446036
112 MANSFIELD AVE
Willimantic, CT 06226
(860) 456-9116
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1437114030
279 NEW BRITAIN RD
Kensington, CT 06037
(860) 223-3331
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1194259572
100 GRAND ST OUTPATIENT CLINIC
New Britain, CT 06052
(860) 224-5261
✔ PECOS✔ Accepts Medicare1.3 mi
Cardiovascular Disease (Cardiology)
NPI 1922165588
100 GRAND ST
New Britain, CT 06052
(860) 224-5694
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1417923160
2150 CORBIN AVE
New Britain, CT 06053
(860) 223-2761
✔ PECOS✔ Accepts Medicare3.1 mi
Mental Health Counselor
NPI 1346927704
1268 MAIN ST STE 204
Newington, CT 06111
(860) 785-6222
✔ PECOS3.4 mi
Clinical Social Worker
NPI 1942537279
1224 MILL ST STE 224
East Berlin, CT 06023
(475) 238-8829
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1245296573
4 FARM SPRINGS RD
Farmington, CT 06032
(860) 284-5200
✔ PECOS✔ Accepts Medicare4.4 mi
Hematology/Oncology
NPI 1003986852
11 SOUTH RD
Farmington, CT 06032
(860) 679-2100
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1205177672
263 FARMINGTON AVE
Farmington, CT 06030
(860) 679-2100
✔ PECOS✔ Accepts Medicare5.5 mi
Neurology
NPI 1689791329
263 FARMINGTON AVE
Farmington, CT 06030
(860) 679-4888
✔ PECOS✔ Accepts Medicare5.5 mi
Psychiatry
NPI 1912640814
263 FARMINGTON AVENUE
Farmington, CT 06030
(860) 679-6700
✔ PECOS✔ Accepts Medicare5.5 mi
Pediatric Medicine
NPI 1134127228
263 FARMINGTON AVE
Farmington, CT 06030
(860) 679-3105
✔ PECOS5.5 mi
Internal Medicine
NPI 1114190964
1290 SILAS DEANE HWY
Wethersfield, CT 06109
(860) 679-2000
✔ PECOS✔ Accepts Medicare6.0 mi
Geriatric Psychiatry
NPI 1174565253
HARTFORD HOSPITAL GERIATRIC PSYCHIATRY 200 RETREAT AVENUE
Hartford, CT 06106
(860) 545-7189
✔ PECOS✔ Accepts Medicare7.3 mi
See all 301 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Windham Community Memorial Hospital, Inc. enrolled in Medicare?

Yes. Windham Community Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Windham Community Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 301 clinicians in 33 Medicare specialties reassign their Medicare billing to Windham Community Memorial Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (49), Internal Medicine (46) and Psychiatry (46). Of these, 6 practice at this address and 97 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.