Organization
COPLEY HOSPITAL, INC.
Active
Parent organization
COPLEY HOSPITAL, INC.
Other names
Dept. of Anesthesiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPLEY HOSPITAL, INC.
Authorized official
JEFFREY HEBERT (CFO)
(802) 888-8888
Entity
Organization
Contact information
Practice address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
Mailing address
528 WASHINGTON HWY, MORRISVILLE, VT 05661-8973
(802) 888-8888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
282NC0060X
Critical Access Hospital
667
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005776
BLUE CROSS
VT
05
—
0005776
—
VT
Enumeration date
06/06/2006
Last updated
10/20/2020
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