NORTHEASTERN VERMONT REGIONAL HOSPITAL INC NPI 1275576704

NPI Information

NPI: 1275576704
Provider Name: NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Classification: General Acute Care Hospital - 282NC0060X
Specialization: Critical Access
Entity Type: Organization
CLIA Number: 47D1057490
Address: 1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8141

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NPI Details

NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC is a critical access general acute care hospital in St Johnsbury, VT. NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC NPI is 1275576704. The provider is registered as an organization entity type.

The provider's business location address is:

1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819-210
Phone: (802) 748-8141
Fax: (802) 748-4098

The provider's authorized official is Robert N Hersey .
The authorized official title is Cfo and has the following contact phone number (802) 748-7520.

The CLIA number assigned to this NPI record is 47D1057490 - other - occupational medicine with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 2/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	673	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	99470023	MEDICAID	NEW HAMPSHIRE
2	0471303	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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