Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC
Active
Other names
NVRH KINGDOM INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N HERSEY (CFO)
(802) 748-7520
Entity
Organization
Contact information
Practice address
714 BREEZY HILL ROAD, ST JOHNSBURY, VT 05819-0905
(805) 748-7500
(802) 745-1188
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
785
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473991
—
VT
05
—
1020004
—
VT
05
—
3076793
—
NH
Enumeration date
11/04/2011
Last updated
02/11/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up