# NORTHWESTERN MEDICAL CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwestern Family Birth Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003574740
- **Authorized official:** DENNIS J BOUCHER (DIRECTOR)
- **Authorized official phone:** (802) 524-1276

## Contact information

- **Practice address:** 133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
- **Practice address phone:** (802) 524-1040
- **Practice address fax:** (802) 524-1032
- **Mailing address:** 133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
- **Mailing address phone:** (802) 524-5911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2021
- **Last updated:** 03/08/2022