Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Active
Other names
NVRH Womens Wellness Center
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) 748-7300
(802) 748-7321
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473992
—
VT
05
—
1004830
—
VT
05
—
3076798
—
NH
Enumeration date
06/14/2006
Last updated
02/11/2020
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