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Contact Information

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC
714 BREEZY HILL ROAD
SAINT JOHNSBURY, VT05819-0905
 Phone: 805-748-7500
 Fax: 802-745-1188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for NORTHEASTERN VERMONT REGIONAL HOSPITAL INC

NPI Number 1871870899
LBN Legal business name NORTHEASTERN VERMONT REGIONAL HOSPITAL INC
Authorized official ROBERT HERSEY - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2011
Last updated 02/11/2020 - About 6 years ago
Identifiers
VT License # 785
NH Medicaid 3076793
VT Medicaid 0473991
VT Medicaid 1020004
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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