Johnson State College
Organization Active NPI Student Health Clinic/Center · Johnson, VT
NPI 1871719781 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1871719781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- JOHNSON STATE COLLEGE
- Practice address
- 337 College HL
Johnson, VT 05656-9741 - Phone
- (802) 635-1265
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Jean Cass, NP
- Title
- Manager
- Phone
- (802) 635-1265
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Johnson State College
Locations
337 College Hl
Johnson, VT 05656
Phone (802) 635-1265
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
337 College HL
Johnson, VT 05656-9741
Mailing address
337 College HL
Johnson, VT 05656-9741
Phone (802) 635-1265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00028275 | Other | VT | BCBS |
| 1005879 | Medicaid | VT |
Other providers in Johnson, VT
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- Alice Glee Haskins
- Cynthia D. Hennard
- Lily Hewitt
- Lamoille Ambulance Service,Inc.
- Laraway Youth & Family Services, Inc.
- Dylan McAllister
- Haley Newman
- James Nichols
All providers in Johnson, VT · Student Health Clinic/Center in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. 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.