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NORTHWESTERN MEDICAL CENTER INC. NPI 1497129993


NPI Information

NPI: 1497129993
Provider Name: NORTHWESTERN MEDICAL CENTER, INC.

Doing Business As: NORTHWESTERN PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 46D0713206

Address:
44 CENTER ST
ENOSBURG FALLS, VT
ZIP 05450
Phone: (802) 527-8189
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NORTHWESTERN MEDICAL CENTER, INC. is a pediatrics in Enosburg Falls, VT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NORTHWESTERN MEDICAL CENTER, INC. NPI is 1497129993. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northwestern Pediatrics.

The provider's business location address is:

44 CENTER ST
ENOSBURG FALLS, VT
ZIP 05450-795
Phone: (802) 527-8189
Fax: (802) 933-8642

The provider's authorized official is Mary Pigeon .
The authorized official title is Credentialing Specialist and has the following contact phone number (802) 524-8954.

The CLIA number assigned to this NPI record is 46D0713206 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/24/2015.


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
1208000000XPediatricsYes

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: 5/5/2024

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