NORTHEASTERN VERMONT REGIONAL HOSPITAL INC (NPI# 1871870899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871870899 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN VERMONT REGIONAL HOSPITAL INC |
| Other Organization Name | NVRH KINGDOM INTERNAL MEDICINE |
| Practice Address |
714 Breezy Hill Road St Johnsbury VT 05819-0905 |
| Mailing Address |
Po Box 905 St Johnsbury VT 05819-0905 |
| Practice Telephone | 8057487500 |
| Practice Fax Number | 8027451188 |
| Mailing Telephone | 8027488141 |
| Mailing Fax Number | 8027484098 |
| Enumeration Date | 2011-11-04 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
785 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0473991 | 05 | |
| NH | 3076793 | 05 | |
| VT | 1020004 | 05 |
| Other Name | Type Code |
|---|---|
| NVRH KINGDOM INTERNAL MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565631 | Northeastern Vermont Regional Hospital Inc | Physical Therapist | 569 Main St, Lyndonville, VT 05851-9240 | 2018-10-30 |
| 1760773774 | Northeastern Vermont Regional Hospital Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2011-04-25 |
| Street Address |
714 BREEZY HILL ROAD |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-0905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265532444 | Robert Joseph Jauch | Otolaryngology | 714 Breezy Hill Road, Suite A, St Johnsbury, VT 05819 | 2006-09-25 |
| 1861769507 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 714 Breezy Hill Road, St Johnsbury, VT 05819-0905 | 2011-11-23 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093360 | North Country Hospital & Health Center Inc | Clinic/Center | 30 East Street, Orleans, VT 05860-1240 | 2009-06-18 |
| 1982897203 | Mountain Valley Health Council Inc | Clinic/Center | 38 Rte 11, Londonderry, VT 05148-0310 | 2007-08-21 |
| 1659459428 | Northeastern Vermont Regional Hospital Inc. | Clinic/Center | 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851-4511 | 2006-11-01 |
| 1003261942 | Paul Rogers Md | Clinic/Center | 224 Railroad St, Johnson, VT 05656-9103 | 2016-04-28 |
| 1295928000 | Springfield Hospital | Clinic/Center | 1 Elm St, Ludlow, VT 05149-1301 | 2007-08-24 |
| 1669664256 | Springfield Hospital | Clinic/Center | One Hospital Ct, Health Center At Bellows Falls, Bellows Falls, VT 05101-1489 | 2007-08-16 |
| 1518180314 | Sarayu Balu | Clinic/Center | 1126 Laporte Rd, Morrisville, VT 05661-0608 | 2007-04-10 |
| 1295868008 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-13 |
| 1417023904 | North Country Hospital & Health Center Inc | Clinic/Center | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-11-27 |
| 1902984974 | Mad River Family Health | Clinic/Center | 859 Old County Rd, Waitsfield, VT 05673-6093 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
| 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.