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

NPI Status: Active since October 21, 2006

Contact Information

112 MANSFIELD AVE
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 456-6752
Fax: (203) 265-4557

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 07D0095208
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.

This page provides the complete NPI Profile along with additional information for Windham Community Memorial Hospital, Inc., a provider established in Willimantic, Connecticut operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1023191467 assigned on October 2006. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Windham Community Memorial Hospital, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Janice Mackie (Vp Of Finance)

NPI
1023191467
Provider Name
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
Entity Type
Organization
Location Address
112 MANSFIELD AVE WILLIMANTIC, CT 06226
Location Phone
(860) 456-6752
Location Fax
(203) 265-4557
Mailing Address
112 MANSFIELD AVE WILLIMANTIC, CT 06226
Mailing Phone
(860) 425-8755
Mailing Fax
(203) 265-4557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2006
Last Update Date
04-12-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 
2261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

0061 (CT)
3261QE0002XAmbulatory Health Care Facilities

Clinic/Center
Emergency Care

0061 (CT)
4261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

0061 (CT)
5261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

0061 (CT)
6282N00000XHospitals

General Acute Care Hospital

0061 (CT)
7363LN0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Neonatal

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JANICE MACKIE

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(860) 425-8755

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
004025110MEDICAID (05)CT 
H055902OTHER (01)CTHEALTHNET
004041828MEDICAID (05)CT 
0014138OTHER (01)COAETNA
0465969015OTHER (01)CTCIGNA
TRICAREOTHER (01)CT35175
H01661OTHER (01)CTOXFORD
022OTHER (01)CTBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D0095208
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
DR. ASHLEY ORNOFF
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Windham Community Memorial Hospital, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023191467
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043292412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 9 + 2 + 4 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1023191467 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003892829 MARLENE SCHWARTZ M.D.
Individual
Internal Medicine (Pulmonary Disease)112 MANSFIELD AVE PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
(860) 456-7279
1528046646MRS. TRACY HAWTHORNE PA
Individual
Physician Assistant112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-9116
1932189693DR. NADIA S NASHID MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6729
1245210913DR. MARILYN KRITZMAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6730
1295709186 MARC L. GUTTMAN M.D.
Individual
Emergency Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-9116
1902863749WINDHAM FAMILY MEDICAL SERVICES, PC
Organization
Internal Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6713
1770540262DR. GREGORY L SHANGOLD MD
Individual
Emergency Medicine112 MANSFIELD AVE WINDHAM HOSPITAL
WILLIMANTIC, CT 06226
(860) 456-6078
1447201793EASTERN CONNECTICUT HEART ASSOCIATES
Organization
Internal Medicine (Cardiovascular Disease)112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-2898
1508810201DR. EDWARD ROBERT NEMERGUT MD
Individual
Emergency Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6715
1104870294DR. EUGENE A WINCHESTER M.D.
Individual
Emergency Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6715
1497702963 ANNA H. CRANMER MD
Individual
Emergency Medicine112 MANSFIELD AVE WINDHAM HOSPITAL
WILLIAMANTIC, CT 06226
(860) 456-9116
1265456503DR. ORLAND EDWIN DONALD M.D.
Individual
Emergency Medicine112 MANSFIELD AVE WINDHAM HOSPITAL EMERGENCY DEPT
WILLIMANTIC, CT 06226
(860) 456-6715
1427161827DR. ROBERT ADAM M.D.
Individual
Anesthesiology112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-9116
1922197631PATHOLOGY ASSOCIATES OF WINDHAM PC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-6729
1275694564MR. SALVATORE TRESCA JR. C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 456-9116
1306979851DR. AUSTIN CHINEDU TAGBO M.D.
Individual
Internal Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 680-6119
1629196670 LYNNE MARIE MCPHEE RD, CDE, CDN
Individual
Dietitian, Registered112 MANSFIELD AVE NUTRITION SERVICES DEPT
WILLIMANTIC, CT 06226
(860) 456-6863
1982889598NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Organization
Emergency Medicine112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(800) 261-0048
1588800270HOSPITALIST PHYSICIANS OF EASTERN CONNECTICUT, LLC
Organization
General Acute Care Hospital112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(860) 423-1400
1477888055WINDHAM COMMUNITY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital112 MANSFIELD AVE
WILLIMANTIC, CT 06226
(203) 284-1340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023191467, enumerated in the NPI registry as an "organization" on October 21, 2006

The provider is located at 112 Mansfield Ave Willimantic, Ct 06226 and the phone number is (860) 456-6752

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Cigna, Oxford Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 07D0095208 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on October 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.