Organization
NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L BROWN (ENROLLMENT SPECIALIST)
(802) 334-3210
Entity
Organization
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-7331
(802) 334-3281
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-7331
(802) 334-3281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
282NC0060X
Critical Access Hospital
Primary
736
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005704
—
VT
05
—
0005805
—
VT
05
—
0471304
—
VT
05
—
047Z304
—
VT
01
—
470008
BLUE SHIELD - VT
VT
01
—
471304
MEDICARE
VT
01
—
47Z304
MEDICARE
VT
01
—
990796
MVP
VT
01
—
VT5805
MEDICARE
VT
Enumeration date
07/06/2006
Last updated
09/12/2023
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