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Organization

BRATTLEBORO MEMORIAL HOSPITAL

Active
Other names
BRATTLEBORO MEMORIAL HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
REINA CHAMPNEY (CREDENTIALING MANAGER)
(802) 257-8203
Entity
Organization

Contact information

Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-3498
(802) 257-0341
(802) 257-8834
Mailing address
17 BELMONT AVE, BRATTLEBORO, VT 05301-3498
(802) 257-0341
(802) 257-8834

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
207YX0602X
Otolaryngic Allergy Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
208800000X
Urology Physician
282N00000X
General Acute Care Hospital
Primary
648
VT
282N00000X
General Acute Care Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005692
VT
05
0470011
VT
05
3081119
NH
01
470011
BLUE CROSS PROVIDER #
VT
Enumeration date
05/31/2005
Last updated
03/23/2022
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