NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC (NPI# 1487732301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487732301 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC |
| Other Organization Name | NVRH ST. JOHNSBURY PEDIATRICS |
| Practice Address |
97 Sherman Drive St Johnsbury VT 05819-9280 |
| Mailing Address |
1315 Hospital Drive Po Box 905 St Johnsbury VT 05819-9210 |
| Practice Telephone | 8027485131 |
| Practice Fax Number | 8027484237 |
| Mailing Telephone | 8027488141 |
| Mailing Fax Number | 8027484098 |
| Enumeration Date | 2006-11-01 |
| 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 | 261QP2300X |
Clinic/Center Specialization: Primary Care |
673 | VT | Ambulatory Health Care Facilities |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
673 | VT | Ambulatory Health Care Facilities |
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3076791 | 05 |
| Other Name | Type Code |
|---|---|
| NVRH St. Johnsbury Pediatrics | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1275576704 | Northeastern Vermont Regional Hospital, Inc | General Acute Care Hospital | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-06-13 |
| 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 |
| Vermont Business Registrations | NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC. | Hospital Drive, St. Johnsbury, VT 05819 |
| Street Address |
97 SHERMAN DRIVE |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609976075 | Chad I Howland | Physical Therapist | 97 Sherman Drive, St Johnsbury, VT 05819 | 2006-09-25 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
| 1114195419 | Lakes Region Healthcare | Clinic/Center | 49 Castleton Meadows Ln, Castleton, VT 05735-9011 | 2008-02-20 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1093761835 | Charlotte Family Health Center Inc | Clinic/Center | 527 Ferry Rd, Charlotte, VT 05445-9555 | 2006-05-25 |
| 1437618022 | Rutland Family Care, LLC | Clinic/Center | 25 N Main St, Rutland, VT 05701-6100 | 2019-03-14 |
| 1487124202 | Gordon Gieg Md Pllc | Clinic/Center | 5138 Shelburne Rd, Shelburne, VT 05482-6698 | 2018-12-05 |
| 1144755455 | Samuel R. Stoyak, M.d., Plc | Clinic/Center | 43 Timber Ln, South Burlington, VT 05403-5201 | 2017-04-24 |
| 1306116801 | Hope Medical Clinic Pllc | Clinic/Center | 92 Allen St, Rutland, VT 05701-4562 | 2011-12-31 |
| 1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
| 1861640161 | Little Rivers Health Care, Inc. | Clinic/Center | 65 Main Street, Wells River, VT 05081 | 2008-08-29 |
| 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.