Organization Name: | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC |
NPI Number: | 1174566541 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT N HERSEY (CFO) |
Mailing Address: | 1315 Hospital Dr St Johnsbury |
State: | VT US |
Postal Code: | 058199210 |
Phone Number: | 8027488141 |
Fax Number: | 8027484098 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 04/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |