Healthcare Provider Details

I. General information

NPI: 1477888055
Provider Name (Legal Business Name): WINDHAM COMMUNITY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 MANSFIELD AVE
WILLIMANTIC CT
06226-2045
US

IV. Provider business mailing address

112 MANSFIELD AVE
WILLIMANTIC CT
06226-2045
US

V. Phone/Fax

Practice location:
  • Phone: 203-284-1340
  • Fax: 203-265-4557
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateCT

VIII. Authorized Official

Name: MR. JAMES N PAPADAKOS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 860-456-6848