# WINDSOR HOSPITAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WINDSOR HOSPITAL CORP
- **Other names:** MT ASCUTNEY HOSPITAL LADIES FIRST PROGRAM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487793352
- **Legal business name:** WINDSOR HOSPITAL CORP
- **Authorized official:** BONNIE S MARTANIUK (PROV INS ENROLL COORD)
- **Authorized official phone:** (802) 674-7170

## Contact information

- **Practice address:** 289 COUNTY RD, WINDSOR, VT 05089-9000
- **Practice address phone:** (802) 674-7300
- **Mailing address:** 289 COUNTY RD, WINDSOR, VT 05089-9000
- **Mailing address phone:** (802) 674-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 703 | VT | — |
| 207R00000X | Internal Medicine Physician | 703 | VT | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 703 | VT | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 01/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8000653 | — | VT |
