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Contact Information

NORTHERN COUNTIES HEALTH CARE, INC.
161 SHERMAN DRVIE
SAINT JOHNSBURY, VT05819
 Phone: 802-748-8116
 Fax: 802-748-4628
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for NORTHERN COUNTIES HEALTH CARE, INC.

NPI Number 1174656201
LBN Legal business name NORTHERN COUNTIES HEALTH CARE, INC.
Authorized official JACK DONNELLY - (INTERIM EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
VT Medicaid 1004923
VT Medicaid 1005008
VT Medicaid 1005248
VT Medicaid 1005275
VT Medicaid 47-W004
VT Other T001703 CHAMPUS-HOSPICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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