NORTHEASTERN VERMONT REGIONAL HOSPITAL INC. NPI 1659459428

NPI Information

NPI: 1659459428
Provider Name: NORTHEASTERN VERMONT REGIONAL HOSPITAL INC.

Doing Business As: NVRH CORNER MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 47D0092001

Address:
195 INDUSTRIAL PKWY STE 1
LYNDONVILLE, VT
ZIP 05851
Phone: (802) 748-9501
Get Directions

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC. is a primary care clinic center in Lyndonville, VT. NORTHEASTERN VERMONT REGIONAL HOSPITAL INC. NPI is 1659459428. The provider is registered as an organization entity type.
The provider Is Doing Business As Nvrh Corner Medical.

The provider's business location address is:

195 INDUSTRIAL PKWY STE 1
LYNDONVILLE, VT
ZIP 05851-511
Phone: (802) 748-9501
Fax: (802) 748-3420

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 47D0092001 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/1/2006 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	261QP2300X	Clinic/Center	Primary Care	673	VERMONT	Yes
2	261QR1300X	Clinic/Center	Rural Health	673	VERMONT	No

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
1	0473988	MEDICAID	VERMONT
2	3076795	MEDICAID	NEW HAMPSHIRE
3	1014190	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: 5/5/2024

NPI Synchronization or Removal

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