Organization Name: | JOHNSON STATE COLLEGE |
NPI Number: | 1871719781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN CASS (MANAGER) |
Mailing Address: | 337 College Hl Johnson |
State: | VT US |
Postal Code: | 056569741 |
Phone Number: | 8026351265 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |