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NORTHWESTERN MEDICAL CENTER INC. NPI 1578650099


NPI Information

NPI: 1578650099
Provider Name: NORTHWESTERN MEDICAL CENTER, INC.

Doing Business As: NORTHWESTERN URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 47D1083591

Address:
133 FAIRFIELD ST STE 102
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-8911
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NORTHWESTERN MEDICAL CENTER, INC. is an urgent care clinic center in Saint Albans, VT. NORTHWESTERN MEDICAL CENTER, INC. NPI is 1578650099. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Urgent Care.

The provider's business location address is:

133 FAIRFIELD ST STE 102
SAINT ALBANS, VT
ZIP 05478-726
Phone: (802) 524-8911
Fax: (802) 752-1358

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

The CLIA number assigned to this NPI record is 47D1083591 - other - urgent care with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 10/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11009614MEDICAIDVERMONT

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: 4/28/2024

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