Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Active
Other names
NVRH St. Johnsbury Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N HERSEY (CFO)
(802) 748-7520
Entity
Organization
Contact information
Practice address
97 SHERMAN DRIVE, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
(802) 748-4237
Mailing address
1315 HOSPITAL DRIVE, PO BOX 905, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
673
VT
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
673
VT
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076791
—
NH
Enumeration date
11/01/2006
Last updated
02/11/2020
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