Organization
NORTHWESTERN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E PIGEON (PAYOR CREDENTIALING & CONTRACT SPEC)
(802) 524-8954
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478
(802) 524-5911
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
690
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C26350
RR TRAVELERS
VT
05
—
VT5818
—
VT
Enumeration date
03/15/2007
Last updated
07/27/2018
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