Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Parent organization
NORTHWESTERN MEDICAL CENTER, INC.
Other names
Northwestern Obstetrics & Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWESTERN MEDICAL CENTER, INC.
Authorized official
MARY PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-2229
(802) 524-8498
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
722
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017249
—
VT
Enumeration date
11/30/2009
Last updated
03/03/2017
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