# NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215217641
- **Authorized official:** DEBORAH L BROWN (ENROLLMENT SPECIALIST)
- **Authorized official phone:** (802) 487-2589

## Contact information

- **Practice address:** 468 HOSPITAL DRIVE, ST JOHNSBURY, VT 05819
- **Practice address phone:** (802) 748-7901
- **Practice address fax:** (802) 427-3047
- **Mailing address:** 186 MEDICAL VILLAGE DR, SUITE 1, NEWPORT, VT 05855
- **Mailing address phone:** (802) 487-2589
- **Mailing address fax:** (802) 334-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 09/24/2025