NPIMap

Northwestern Medical Center, Inc.

Organization Active NPI Family Medicine Physician · Saint Albans, VT

NPI 1114530409 · NPPES record last updated Aug 26, 2020

Key facts

NPI
1114530409
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NORTHWESTERN MEDICAL CENTER, INC.
Practice address
12 Crest Rd
Saint Albans, VT 05478-9701
Phone
(802) 524-8805
Fax
(802) 524-8488
NPI assigned
Aug 26, 2020
Organization subpart
No

Authorized official

Name
Mary E Pigeon
Title
Credentialing Specialist
Phone
(802) 524-8954

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

National Provider Directory

Tax ID family
Northwestern Medical Center (36 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

12 Crest Rd
Saint Albans, VT 05478-9701

Mailing address

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-5911

Other names

  • Northwestern Primary Care Doing business as

Other providers in Saint Albans, VT

All providers in Saint Albans, VT · Family Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.