WINDHAM COMMUNITY MEMORIAL HOSPITAL
NPI 1629475371
Nurse Practitioner - Neonatal, Critical Care in Willimantic, CT

Active since November 24, 2014
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 456-6752(203) 265-4557 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Windham Community Memorial Hospital NPPES

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

WINDHAM COMMUNITY MEMORIAL HOSPITAL (NPI 1629475371) is a healthcare organization registered as a neonatal, critical care in Willimantic, Connecticut and active in the NPI registry since November 2014. The organization lists Janice M Mackie, Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1629475371
Entity TypeOrganization
Primary Taxonomy363LN0005X
Legal Business NameWINDHAM COMMUNITY MEMORIAL HOSPITAL
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2045
Mailing AddressPo Box 4131Yalesville, CT 06492-1481 · (203) 284-1340 · Fax (203) 265-4557
Fax(203) 265-4557
Organization SubpartNo
Authorized OfficialJanice M MackieFinancial Officer · (860) 425-8755
Enumeration DateNovember 24, 2014
NPI 1629475371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
112 MANSFIELD AVE, Willimantic, CT 06226

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.

Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226

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's NPI number?

The NPI number for Windham Community Memorial Hospital is 1629475371. It was assigned to this organization in the NPPES registry on November 24, 2014.

Where is Windham Community Memorial Hospital located?

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

What is Windham Community Memorial Hospital's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Windham Community Memorial Hospital was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.