Northeastern Vermont Regional Hospital

Organization Active NPI Durable Medical Equipment & Medical Supplies · St Johnsbury, VT

NPI 1821113754 · NPPES record last updated Feb 11, 2020

Key facts

NPI
1821113754
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
673 (VT)
Legal business name
NORTHEASTERN VERMONT REGIONAL HOSPITAL
Practice address
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone
(802) 748-8141
Fax
(802) 748-4098
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

Name
Robert N Hersey
Title
Cfo
Phone
(802) 748-7520

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 673 VT Yes

Addresses

Primary practice location

1315 Hospital Dr
St Johnsbury, VT 05819-9210

Mailing address

1315 Hospital Dr
PO Box 905
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

Other identifiers

IdentifierTypeStateIssuer
1011433MedicaidVT
108079001MedicaidVT

Other providers in St Johnsbury, VT

All providers in St Johnsbury, VT · Durable Medical Equipment & Medical Supplies in Vermont

Sources for this page

Verify at the official NPI Registry.