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 is a Hospitalist Physician 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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