# NORTH COUNTRY HOSPITAL & HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Country Primary Care Newport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417023904
- **Authorized official:** DEBORAH L BROWN (ENROLLMENT SPECIALIST)
- **Authorized official phone:** (802) 334-3210

## Contact information

- **Practice address:** 186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
- **Practice address phone:** (802) 334-3520
- **Practice address fax:** (802) 334-3281
- **Mailing address:** 186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
- **Mailing address phone:** (802) 334-3522
- **Mailing address fax:** (802) 334-3512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 09/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0473979 | — | VT |
| 05 | — | 0VN0873 | — | VT |
| 01 | — | 8000696 | LADIES FIRST | VT |
| 01 | — | CN1521 | RAILROAD MEDICARE | VT |
| 01 | — | NORT00019718 | BLUE CROSS BLUE SHIELD | VT |