Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Active
Other names
NVRH Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE BISSONNETTE (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
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
231H00000X
Audiologist
—
—
282NC0060X
Critical Access Hospital
673
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011326
—
VT
05
—
3076797
—
NH
Enumeration date
06/12/2006
Last updated
04/07/2025
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