National Provider Identifier Database

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC
Primary Care


Contact Information

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
195 INDUSTRIAL PKWY STE 1
LYNDONVILLE, VT05851-4511
Phone: 802-748-9501
Fax: 802-748-3420
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.

NPI Number 1659459428
Legal business name
LBN
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
Authorized official ROBERT HERSEY - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 02/11/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 673
  • NH Medicaid: 3076795
  • VT Medicaid: 0473988
  • VT Medicaid: 1014190

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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