Active NPI
North Country Hospital & Health Systems Inc
- Internal Medicine Physician
- Newport, VT
National Provider Identifier
1972634350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH COUNTRY HOSPITAL & HEALTH SYSTEMS INC
- Doing business as
- North Country Urology Services
- Practice address
- 189 Prouty Dr
Newport, VT 05855-9326 - Phone
- (802) 334-4111
- Fax
- (802) 334-3281
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre Bissonnett
- Title
- Cfo
- Phone
- (802) 334-4111
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X | |||
| Urology Physician | 208800000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 042-0010304 | VT |
Addresses
Primary practice location
189 Prouty Dr
Newport, VT 05855-9326
Mailing address
189 Prouty Dr
Newport, VT 05855-9326
Phone (802) 334-4111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201717 | Medicaid | NH | |
| NORT00058438 | Other | VT | BLUE SHIELD |
| NORT00058665 | Other | VT | BLUE SHIELD |
| 1009352 | Medicaid | VT | |
| 1008679 | Medicaid | VT | |
| CA2785 | Other | VT | RAILROAD MEDICARE |
Other names 1
- North Country Urology Services
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Orthopaedic Surgery Physician
- Newport, VT
- NPI 1578592606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239321600000",
"number": "1972634350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-4111",
"fax_number": "802-334-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 PROUTY DR",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-4111",
"fax_number": "802-334-3281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTRY HOSPITAL & HEALTH SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2009-04-10",
"status": "A",
"authorized_official_last_name": "BISSONNETT",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "802-334-4111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VT",
"license": "042-0010304",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201717",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NORT00058438",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NORT00058665",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009352",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008679",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA2785",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Country Urology Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport, VT
- North Country Hospital & Health Center Inc
- North Country Hospital & Health Center Inc
- North Country Hospital & Health Center Inc
- North Country Hospital & Health Center Inc
- North Country Hospital & Health Center Inc
- North Country Hospital and Health Center Inc
- North Country Supervisory Union
- North East Kingdom Community Action, Inc.
- Northeast Kingdom Community Action, Inc.
- Northeast Kingdom Community Action, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.