Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Other names
Northwestern Medical Center/Georgia Health Care, Northwestern Georgia Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (CREDENTIALING SPECIALIST)
(802) 524-8954
Entity
Organization
Contact information
Practice address
4178 HIGHBRIDGE RD, FAIRFAX, VT 05454-5446
(802) 752-1930
(802) 524-2867
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017250
—
VT
Enumeration date
01/12/2010
Last updated
10/26/2018
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