NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC (NPI# 1275576704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275576704 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC |
| Practice Address |
1315 Hospital Dr St Johnsbury VT 05819-9210 |
| Mailing Address |
1315 Hospital Dr Po Box 905 St Johnsbury VT 05819-9210 |
| Practice Telephone | 8027488141 |
| Practice Fax Number | 8027484098 |
| Mailing Telephone | 8027488141 |
| Mailing Fax Number | 8027484098 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | ROBERT N HERSEY (CFO) |
| Authorized Official Telephone | 8027487520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
673 | VT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 99470023 | 05 | |
| VT | 0471303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1578997896 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1080 Hospital Dr, The Bloch Building, St Johnsbury, VT 05819-9806 | 2013-08-22 |
| 1861769507 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 714 Breezy Hill Road, St Johnsbury, VT 05819-0905 | 2011-11-23 |
| 1053436956 | Northeastern Vermont Regional Hospital, Inc | Medicare Defined Swing Bed Unit | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2007-03-20 |
| 1487732301 | Northeastern Vermont Regional Hospital, Inc | Clinic/Center | 97 Sherman Drive, St Johnsbury, VT 05819-9280 | 2006-11-01 |
| 1831132299 | Northeastern Vermont Regional Hospital, Inc | Obstetrics & Gynecology | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1174566541 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1326081811 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-13 |
| 1992747737 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-12 |
| 1548202690 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 |
| New York State Corporations | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. | Hospital Drive, St. Johnsbury, Vermont 05819 |
| Street Address |
1315 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134534910 | Northeastern Vermont Regional Hospial | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2014-06-30 |
| 1578997896 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1080 Hospital Dr, The Bloch Building, St Johnsbury, VT 05819-9806 | 2013-08-22 |
| 1861769507 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 714 Breezy Hill Road, St Johnsbury, VT 05819-0905 | 2011-11-23 |
| 1760773774 | Northeastern Vermont Regional Hospital Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2011-04-25 |
| 1720021181 | Northeastern Vermont Regional Hospital Dietary Clinic | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1740223106 | Northeastern Vermont Regional Hospital, Inc. | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1174566541 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1326081811 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-13 |
| 1780627265 | Northeastern Vermont Regional Hospital Pt Group | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-13 |
| 1326080268 | Northeastern Vermont Regional Hospital, Inc. | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-12 |
| Find all providers in ST JOHNSBURY | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.