Rutland Hospital, Inc.
Organization Active NPI Specialist · Rutland, VT
NPI 1295799047 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1295799047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 724 (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 (as reported)
- THE RUTLAND HOSPITAL
Authorized official
- Name
- Jennifer Bertrand
- Title
- Cfo
- Phone
- (802) 775-7111
Other NPIs with the same Medicare PAC ID 6
Practitioners 220
-
Nicholas Bontempo, CAA
-
Melbourne Duncan Boynton, M.D.
-
Daniel Cole, PA-C
-
Timothy A. Daly, MD
-
Courtney Fuller, M.D.
-
Matthew Gammons, M.D.
-
Deborah A Henley, MD
-
Jennifer Kish Hopkins, PA-C
-
Ermin Husic, CAA
-
Jodi L Hyndman, APRN
-
John W Karl, MD, MPH
-
Eric James Marsh, MD
-
Kaitlin S McCarthy, APRN
-
Mirjam McCormack, MD
-
Joshua L Mollov, MD
-
Timothy Scott Snyder, AA-C
-
Bethany Lynn Stack, P.A.
-
Matthew G Zmurko, MD
-
Shawn Russell Bowdoin, CRNA
-
Danielle Cappozzo, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040913000144 | VT | Part B Supplier - Clinic/Group Practice | 7214846377 |
Receives reassigned benefits from 67 practitioners Practice locations: East Dorset, VT; Killington, VT; Rutland, VT |
National Provider Directory
- Part of
- Rutland Reg Ctr
Locations
3902 Killington Rd
Killington, VT 05751
Phone (802) 422-1230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 724 | VT | Yes |
| Urgent Care Clinic/Center | 261QU0200X | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT9521 | Other | VT | BC PHYSIATRY PROV # |
| 0009521 | Medicaid | VT |
Other names
- RRMC Physiatry Dept
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.