NPIMap

Organization Active NPI

Rutland Hospital, Inc.

  • Specialist
  • Rutland, VT
National Provider Identifier
1083678833
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
788 Issued in VT
Legal business name
RUTLAND HOSPITAL, INC.
Practice address
160 Allen St
Rutland, VT 05701-4560
Phone
(802) 775-7111
Fax
(802) 775-7214
NPI assigned
Apr 17, 2006
Organization subpart
Yes
Parent organization
RUTLAND HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Bertrand
Title
Cfo
Phone
(802) 775-7111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 788 VT Primary
General Acute Care Hospital 282N00000X 676 VT

Addresses

Primary practice location

160 Allen St
Rutland, VT 05701-4560

Mailing address

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

Other identifiers 2

IdentifierTypeStateIssuer
59663OtherVTBC SPECIALTY PROV #
1009146MedicaidVT

Other names 2

  • Rutland Regional Medical Center Doing business as
  • RRMC Specialty Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000323 VT Part B Supplier - Clinic/Group Practice 7214846377 Receives reassigned benefits from 89 practitioners
Practice locations: Rutland, VT; East Dorset, VT; Killington, VT

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Rutland Reg Ctr

Locations

51 Tennis Way
East Dorset, VT 05253
Phone (802) 366-8195

8 Albert Cree Dr
Rutland, VT 05701
Phone (802) 775-2703

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1083678833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-775-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-775-7111",
            "fax_number": "802-775-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTLAND HOSPITAL, INC.",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-775-7111"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VT",
            "license": "788",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VT",
            "license": "676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SPECIALTY PROV #",
            "identifier": "59663",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009146",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rutland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rutland Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RRMC Specialty Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.