Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Windham Community Memorial Hospital, Inc

Organization Hospitalist Physician · NPI 1023191467

Windham Community Memorial Hospital, Inc provides Hospitalist Physician services in Willimantic, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (860) 456-6752
Fax: (203) 265-4557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Hospitalist Physician Taxonomy 208M00000X
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 0061 (CT)
Emergency Care Clinic/Center Taxonomy 261QE0002X · Licence 0061 (CT)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 0061 (CT)
Radiology Clinic/Center Taxonomy 261QR0200X · Licence 0061 (CT)
General Acute Care Hospital Taxonomy 282N00000X · Licence 0061 (CT)
Neonatal Nurse Practitioner Taxonomy 363LN0000X

Record details

NPI number1023191467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Mackie — Vp Of Finance · (860) 425-8755
NPI enumeratedOctober 21, 2006
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address112 Mansfield Ave, Willimantic, CT 06226-2045

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