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Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
Active
Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
Active
Other names
NVRH Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BISSONNETTE (CHIEF FINANCIAL OFFICER)
(802) 748-7520
Entity
Organization
Contact information
Practice address
1290 HOSPITAL DR STE 1, ST JOHNSBURY, VT 05819-9205
(802) 748-9400
(802) 748-9010
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136919
—
NH
05
—
6710925
—
VT
Enumeration date
02/09/2022
Last updated
04/06/2023
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