# NORTH COUNTRY HOSPITAL & HEALTH SYSTEMS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Country Urology Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972634350
- **Authorized official:** MR. ANDRE BISSONNETT (CFO)
- **Authorized official phone:** (802) 334-4111

## Contact information

- **Practice address:** 189 PROUTY DR, NEWPORT, VT 05855-9326
- **Practice address phone:** (802) 334-4111
- **Practice address fax:** (802) 334-3281
- **Mailing address:** 189 PROUTY DR, NEWPORT, VT 05855-9326
- **Mailing address phone:** (802) 334-4111
- **Mailing address fax:** (802) 334-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 042-0010304 | VT | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 04/10/2009