Organization
NORTHWESTERN MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BERRY BOWEN (CEO)
(802) 524-1041
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-7021
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
754
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020631
—
VT
Enumeration date
09/21/2011
Last updated
07/10/2012
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