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Organization
NORTHWESTERN MEDICAL CENTER INC
Active
Organization
NORTHWESTERN MEDICAL CENTER INC
Active
Other names
NORTHWESTERN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (PAYOR CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1076
(802) 524-8803
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1076
(802) 524-8803
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
VT
3336I0012X
Institutional Pharmacy
0370001670
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101324
PK
—
05
—
470024
—
VT
Enumeration date
06/18/2006
Last updated
05/11/2015
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