BRATTLEBORO MEMORIAL HOSPITAL (NPI# 1306849708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306849708 |
| Entity Type | Organization |
| Organization Name | BRATTLEBORO MEMORIAL HOSPITAL |
| Practice Address |
17 Belmont Ave Brattleboro VT 05301-3498 |
| Practice Telephone | 8022570341 |
| Practice Fax Number | 8022578466 |
| Mailing Telephone | 8022570341 |
| Mailing Fax Number | 8022578834 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | MS. MARILYN J BOUDREAU (DIRECTOR, PATIENT FINANCIAL SVCS) |
| Authorized Official Telephone | 8022578382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 282N00000X | General Acute Care Hospital | 648 | VT | Hospitals |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0470011 | 05 | |
| VT | BLUE CROSS PROVIDER # | 470011 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRATTLEBORO MEMORIAL HOSPITAL INC | 17 Belmont Ave, Brattleboro, VT 05301-7601 |
| Street Address |
17 BELMONT AVE |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910931 | Clayton Michael Mcginnis | Nurse Practitioner | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2020-04-08 |
| 1760992002 | Hannah Cressy | Nurse Practitioner | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2017-09-30 |
| 1518418201 | Angela P. Miller | Nurse Practitioner | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2016-10-18 |
| 1740644236 | Anne Mccandless | Registered Nurse | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2016-04-11 |
| 1700273133 | Laurie Kuralt | Nurse Practitioner | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2015-04-23 |
| 1053704924 | Samantha Bellamy | Radiologic Technologist | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2015-03-16 |
| 1235558081 | Jennifer Black | Obstetrics & Gynecology | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2014-04-09 |
| 1013216324 | Tatyana Pankratova | Internal Medicine | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2011-03-25 |
| 1174843155 | Elizabeth A. Mclarney, M.d., P.C. | Orthopaedic Surgery | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2010-06-02 |
| 1801119573 | Southern Vermont Orthopaedic & | Orthopaedic Surgery | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992922512 | Va Medical Center | General Acute Care Hospital | Va Medical Center 215 North Main Street, White River Junction, VT 03745 | 2007-04-18 |
| 1417049578 | Fletcher Allen Healthcare | General Acute Care Hospital | 792 College Pkwy Ste 201, Colchester, VT 05446-3052 | 2006-09-28 |
| 1942651328 | North Country Hospital | General Acute Care Hospital | 81 Medical Village Dr, Newport, VT 05855-9897 | 2016-06-27 |
| 1912365545 | Va Medical Center | General Acute Care Hospital | 215 N Main St, White River Junction, VT 05009-0001 | 2016-02-10 |
| 1710246053 | Diego Ivan Ramos Valadez | General Acute Care Hospital | 111 Colchester Avenue, Burlington, VT 05401-1473 | 2012-05-07 |
| 1538442199 | Northwestern Medical Center Inc | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2011-09-21 |
| 1043548274 | Northwestern Medical Center, Inc. | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2009-11-30 |
| 1346424066 | Northwestern Medical Center | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2007-12-18 |
| 1942329446 | Gifford Medical Center Inc. | General Acute Care Hospital | 44 S Main St, Randolph, VT 05060-1381 | 2007-03-28 |
| 1346365525 | Northwestern Medical Center | General Acute Care Hospital | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
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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.