# UVM HEALTH NETWORK AT ELIZABETHTOWN COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700230232
- **Authorized official:** MICHELLE MEACHEM (DIRECTOR OF HUMAN RESOURCES)
- **Authorized official phone:** (518) 873-3006

## Contact information

- **Practice address:** 75 PARK STREET, ELIZABETHTOWN, NY 12932
- **Practice address phone:** (315) 873-3170
- **Mailing address:** 75 PARK STREET, ELIZABETHTOWN, NY 12932
- **Mailing address phone:** (518) 873-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 04/21/2016