Organization Name: | NORTHERN COUNTIES HEALTH CARE, INC. |
NPI Number: | 1346413945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN COONEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 161 Sherman Dr St Johnsbury |
State: | VT US |
Postal Code: | 058199811 |
Phone Number: | 8027488116 |
Fax Number: | 8027484628 |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |