# COPLEY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COPLEY HOSPITAL, INC.
- **Other names:** Dept. of Anesthesiology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295774842
- **Legal business name:** COPLEY HOSPITAL, INC.
- **Authorized official:** JEFFREY HEBERT (CFO)
- **Authorized official phone:** (802) 888-8888

## Contact information

- **Practice address:** 528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
- **Practice address phone:** (802) 888-8888
- **Mailing address:** 528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
- **Mailing address phone:** (802) 888-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 282NC0060X | Critical Access Hospital | 667 | VT | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 10/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00005776 | BLUE CROSS | VT |
| 05 | — | 0005776 | — | VT |