Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.
Active
Other names
NVRH Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BISSONNETTE (CHIEF FINANCIAL OFFICER)
(802) 748-7520
Entity
Organization
Contact information
Practice address
1290 HOSPITAL DR STE 1, ST JOHNSBURY, VT 05819-9205
(802) 748-9400
(802) 748-9010
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136919
—
NH
05
—
6710925
—
VT
Enumeration date
02/09/2022
Last updated
04/06/2023
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