Organization
NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC
Active
Other names
Northern Vermont Counseling & Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L FOTTER (CFO)
(802) 334-4111
Entity
Organization
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-4111
(802) 334-3281
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-4111
(802) 334-3281
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0493
—
VT
01
—
391760
MVP
VT
01
—
NORT00018788
BLUE CROSS VERMONT
VT
Enumeration date
03/09/2007
Last updated
04/20/2008
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