Organization
NORTHWESTERN MEDICAL CENTER INC
Active
Other names
NORTHWESTERN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PIGEON (PAYOR CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1076
(802) 524-8803
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1076
(802) 524-8803
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
VT
3336I0012X
Institutional Pharmacy
0370001670
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101324
PK
—
05
—
470024
—
VT
Enumeration date
06/18/2006
Last updated
05/11/2015
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