Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1659459428 |
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| LBN Legal business name | NORTHEASTERN VERMONT REGIONAL HOSPITAL INC. | ||||||||||||||||
| Authorized official | ROBERT HERSEY - (CFO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 11/01/2006 | ||||||||||||||||
| Last updated | 02/11/2020 - About 6 years ago | ||||||||||||||||
| Identifiers |
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