Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
Active
Other names
NVRH Corner Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N HERSEY (CFO)
(802) 748-7520
Entity
Organization
Contact information
Practice address
195 INDUSTRIAL PKWY STE 1, LYNDONVILLE, VT 05851-4511
(802) 748-9501
(802) 748-3420
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
673
VT
261QR1300X
Rural Health Clinic/Center
673
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473988
—
VT
05
—
1014190
—
VT
05
—
3076795
—
NH
Enumeration date
11/01/2006
Last updated
02/11/2020
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