Northern Counties Health Care, Inc.
Organization Active NPI Home Health Agency · St. Johnsbury, VT
NPI 1174656201 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174656201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- NORTHERN COUNTIES HEALTH CARE, INC.
- Practice address
- 161 Sherman Drvie
St. Johnsbury, VT 05819 - Phone
- (802) 748-8116
- Fax
- (802) 748-4628
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jack Donnelly
- Title
- Interim Executive Director
- Phone
- (802) 748-9405
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Hardwick Area HLTH Cent
Locations
161 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-8116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VT | Yes |
Addresses
Primary practice location
161 Sherman Drvie
St. Johnsbury, VT 05819
Mailing address
161 Sherman Drvie
St. Johnsbury, VT 05819
Phone (802) 748-8116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T001703 | Other | VT | CHAMPUS-HOSPICE |
| 1005248 | Medicaid | VT | |
| 1004923 | Medicaid | VT | |
| 1005008 | Medicaid | VT | |
| 1005275 | Medicaid | VT | |
| 47-W004 | Medicaid | VT |
Other names
- Caledonia Home Health Care
Other providers in St. Johnsbury, VT
- Northeastern Vermont Regional Hospital, Inc.
- Northeastern VT Reg Hosp
- Northern Counties Health Care
- Northern Counties Health Care Inc
- Northern Counties Health Care Inc
- Northern Counties Health Care, Inc.
- Northern Counties Health Care, Inc.
- Northern Counties Health Care, Inc.
- Northern Counties Health Care, Inc.
- Northern Counties Health Care, Inc.
All providers in St. Johnsbury, VT · Home Health Agency in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.