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Organization
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Active
Organization
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Active
Other names
North Country Hematology & Oncology Serv ices
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L FOTTER (DIRECTOR OF FINANCE)
(802) 334-3271
Entity
Organization
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-3262
(802) 334-3223
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-3262
(802) 334-3223
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
042-0011226
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008679
—
VT
01
—
DA0586
RAILROAD MEDICARE
VT
01
—
NORT00069769
BLUE SHIELD
VT
Enumeration date
10/31/2006
Last updated
01/05/2008
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