| Organization Name: | SOUTHERN VERMONT HEALTH SERVICES CORP |
| NPI Number: | 1952319220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN J BOUDREAU (DIRECTOR, PATIENT FINANCIAL SVCS) |
| Mailing Address: | 17 Belmont Ave Att'n: Marilyn Boudreau Brattleboro |
| State: | VT US |
| Postal Code: | 053016613 |
| Phone Number: | 8022578382 |
| Fax Number: | 8022518466 |
| NPI Enumeration Date: | 08/03/2006 |
| NPI Last Update Date: | 11/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |