# NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NVRH Pulmonology Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275126260
- **Authorized official:** ROBERT N HERSEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (802) 748-7520

## Contact information

- **Practice address:** 1290 HOSPITAL DR, LOWER LEVEL, ST. JOHNSBURY, VT 05819
- **Practice address phone:** (802) 745-6800
- **Practice address fax:** (802) 748-4098
- **Mailing address:** PO BOX 905, ST JOHNSBURY, VT 05819-0905
- **Mailing address phone:** (802) 748-8141
- **Mailing address fax:** (802) 748-4098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 282NC0060X | Critical Access Hospital | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 12/17/2021