Organization
PORTER HOSPITAL, INC
Active
Parent organization
PORTER HOSPITAL INC
Other names
Porter Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTER HOSPITAL INC
Authorized official
JENNIFER BETRAND (CFO)
(802) 388-4752
Entity
Organization
Contact information
Practice address
82 CATAMOUNT PARK, MIDDLEBURY, VT 05753
(802) 388-7185
(802) 388-3445
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-5682
(802) 388-5696
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017116
—
VT
Enumeration date
12/03/2009
Last updated
02/17/2024
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