NPIMap

Porter Hospital Inc

Organization Active NPI Multi-Specialty Clinic/Center · Middlebury, VT

NPI 1780770511 · NPPES record last updated Jul 24, 2013

Key facts

NPI
1780770511
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
License
675 (VT)
Legal business name
PORTER HOSPITAL INC
Practice address
115 Porter Drive
Porter Hospital
Middlebury, VT 05753
Phone
(802) 388-5607
Fax
(802) 388-5654
NPI assigned
Oct 5, 2006
Organization subpart
No

Authorized official

Name
Steven T Ciampa
Title
Cfo
Phone
(802) 388-4752

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 31

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

View all 31

Affiliated clinicians 468

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 468

Medicare Care Compare: Hospital

Listed as
Porter Hospital Inc CCN 471307
Overall star rating
★★★☆☆ 3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT

Hospital certification: CCN 471307

Legal name
PORTER HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 31, 2005
Last certification
Mar 16, 2022
Beds
45
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Nov 14, 1986 in VT
Enrollment address
115 Porter Dr
Middlebury, VT 57538423
Main/Primary Hospital Location

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sivan Cotel
Individual 		Corporate Director
Board Chairperson		 Oct 1, 2018
Porter Medical Center Inc
Organization · Middlebury, VT 		Operational/Managerial Control Nov 14, 1986
William J Townsend
Individual 		Corporate Director Jan 1, 2009
Thomas Thompson
Individual 		Corporate Officer
President/Coo		 Jan 1, 2021 100%
Elizabeth Elkins
Individual 		W-2 Managing Employee Jan 1, 2021
Scott a Comeau
Individual 		Corporate Officer
Cfo		 Jan 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000607 VT Part a Provider - Critical Access Hospital 1850365180 Receives reassigned benefits from 246 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middlebury, VT; Vergennes, VT; Rutland, VT; Bristol, VT; Brandon, VT

National Provider Directory

Locations

37 Porter Dr
Ofc
Middlebury, VT 05753

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 675 VT Yes

Addresses

Primary practice location

115 Porter Drive
Porter Hospital
Middlebury, VT 05753

Mailing address

115 Porter Drive
Co Susan Spitzner Finance Dept
Middlebury, VT 05753
Phone (802) 388-5607

Other providers in Middlebury, VT

All providers in Middlebury, VT · Multi-Specialty Clinic/Center in Vermont

Sources for this page

Verify at the official NPI Registry.