NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. (NPI# 1518509017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518509017 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. |
| Practice Address |
195 Industrial Pkwy Lyndonville VT 05851-4511 |
| Mailing Address |
Po Box 905 St Johnsbury VT 05819-0905 |
| Practice Telephone | 8027489501 |
| Practice Fax Number | 8027483420 |
| Mailing Telephone | 8027488141 |
| Mailing Fax Number | 8027484098 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| 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 |
Hospitals |
| Other Name | Type Code |
|---|---|
| NVRH Convenient Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223106 | Northeastern Vermont Regional Hospital, Inc. | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-14 |
| 1326080268 | 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 |
195 INDUSTRIAL PKWY |
| City | LYNDONVILLE |
| State | VT |
| Zip Code | 05851-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292562 | Mitchell Sullivan | Family Medicine | 195 Industrial Pkwy, Lyndonville, VT 05851-4511 | 2005-08-12 |
| 1093227571 | Adelaide Adjovu | Nurse Practitioner | 195 Industrial Pkwy, Lyndonville, VT 05851-4511 | 2017-10-24 |
| 1417347956 | Doreen J Brado | Nurse Practitioner | 195 Industrial Pkwy, Lyndonville, VT 05851-4511 | 2015-02-04 |
| 1578739140 | Jaime Lipka | Social Worker | 195 Industrial Pkwy, Lyndonville, VT 05851-4511 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877726 | Courtney Marie Daffinrud | Behavioral Analyst | 878 Ridge Road, Kirby, VT 05851 | 2017-01-09 |
| 1467881342 | Michelle Laferriere | Speech-Language Pathologist | 97 Rte 5, Lyndonville, VT 05851 | 2013-11-01 |
| 1114228780 | Kathleen Knights | Naturopath | 277 Main Street, Lyndonville, VT 05851 | 2010-11-12 |
| 1225344963 | Lisa Avery | Physical Therapist | 31 Middle St., Northern Physical Therapy, PC, Lyndonville, VT 05851 | 2010-08-19 |
| 1679706360 | Evita E. Sandoval | Specialist/Technologist | 569 Main Street, Lyndonville, VT 05851 | 2009-08-27 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1780836023 | Alfred J Tomaselli | Counselor | 142 Cornerstone Lane, Lyndonville, VT 05851 | 2008-10-17 |
| 1760601256 | Vermont State Colleges | Family Medicine | Lyndon State College, 1001 College Road, Lyndonville, VT 05851 | 2007-04-24 |
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1164509980 | Northern Physical Therapy PC | Clinic/Center | 569 Main St, Lyndonville, VT 05851 | 2006-11-01 |
| Find all providers in zip 05851 | ||||
| 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 |
|---|---|---|---|---|
| 1003133570 | Walter Rae | General Acute Care Hospital | 58 Big Deer Run, Newfane, VT 05345-9570 | 2010-04-23 |
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1255337473 | Carlos G. Otis Health Care Center Inc. | General Acute Care Hospital | 185 Grafton Rd, Townshend, VT 05353 | 2005-06-22 |
| 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 |
| 1225391014 | Copley Hospital, Inc | General Acute Care Hospital | 528 Washington Hwy, Morrisville, VT 05661-8973 | 2012-06-18 |
| 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 |
| 1871620302 | Windsor Hospital Corp | General Acute Care Hospital | 289 County Rd, Windsor, VT 05089-9000 | 2007-02-28 |
| 1982743969 | Springfield Hospital .inc | General Acute Care Hospital | 25 Ridgewood Rd, Springfield, VT 05156-3050 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | LYNDONVILLE |
| Zip Code | 05851 |
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| 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.