Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N HERSEY (CFO)
(802) 748-7520
Entity
Organization
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Mailing address
1315 HOSPITAL DR, PO BOX 905, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
673
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011433
—
VT
05
—
108079001
—
VT
Enumeration date
03/20/2007
Last updated
02/11/2020
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