NORTHWESTERN MEDICAL CENTER, INC.


Address: 260 Crest Rd Ste 101, Saint Albans, VT 05478-9501
Phone: 8025241223

NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1659872281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659872281
Entity Type Organization
Organization Name NORTHWESTERN MEDICAL CENTER, INC.
Other Organization Name NORTHWESTERN OCCUPATIONAL HEALTH
Practice Address 260 Crest Rd Ste 101
Saint Albans
VT 05478-9501
Mailing Address 133 Fairfield St
Saint Albans
VT 05478-1726
Practice Telephone 8025241223
Practice Fax Number 8025241095
Mailing Telephone 8025245911
Mailing Fax Number 8025271057
Enumeration Date 2018-02-28
Last Update Date 2018-02-28
Authorized Official Name MARY E PIGEON (PAYOR CREDENTIALING SPECIALIST)
Authorized Official Telephone 8025248954
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0500X Preventive Medicine
Specialization: Preventive Medicine/Occupational Environmental Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Northwestern Occupational Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376140889 Northwestern Medical Center, Inc. Pediatrics 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 2020-10-07
1437634359 Northwestern Medical Center, Inc. Pediatrics 71 S Main St, Saint Albans, VT 05478-2274 2018-09-26
1760748693 Northwestern Medical Center, Inc. Ophthalmology 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 2012-04-04
1003118563 Northwestern Medical Center, Inc. Surgery 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 2010-12-03
1417274663 Northwestern Medical Center, Inc. Family Medicine 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 2010-04-28
1669677043 Northwestern Medical Center, Inc. Orthopaedic Surgery 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 2007-06-18
1578650099 Northwestern Medical Center, Inc. Clinic/Center 133 Fairfield St Ste 102, Saint Albans, VT 05478-1726 2006-10-06
1114530409 Northwestern Medical Center, Inc. Family Medicine 12 Crest Rd, Saint Albans, VT 05478-9701 2020-08-26
1922658921 Northwestern Medical Center, Inc. Internal Medicine 133 Fairfield St, Saint Albans, VT 05478-1726 2019-09-12
1255809836 Northwestern Medical Center, Inc. Dietitian, Registered 133 Fairfield St, Saint Albans, VT 05478-1726 2018-11-13

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations NORTHWESTERN MEDICAL CENTER, INC. 133 Fairfield St, St. Albans, VT 05478

Office Location

Street Address 260 CREST RD STE 101
City SAINT ALBANS
State VT
Zip Code 05478-9501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134225899 Lori Deering Physical Therapist 260 Crest Rd Ste 101, Saint Albans, VT 05478-9501 2006-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306324710 Stephanie Paulick-maloney Audiologist Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 2018-07-30
1033632476 Caroline D Homan Speech-Language Pathologist 596 Seymour Road, St. Albans City, VT 05478 2017-07-18
1891234514 Baart Behavioral Health Services Inc Clinic/Center 242 S Main St, Saint Albans, VT 05478 2017-02-14
1336492073 Vermont Medical Sleep Disorders Center, Inc. Durable Medical Equipment & Medical Supplies 6 Home Health Circle, Suite2, Saint Albans, VT 05478 2012-10-18
1598049454 Genesis Rehab Services Skilled Nursing Facility 296 Sheldon Road, Saint Albans, VT 05478 2011-10-10
1942523576 Heather Elizabeth Deslauriers Pharmacist 164 Swaton Rd, St.albans, VT 05478 2010-03-10
1154529451 Elizabeth Maria Felcyn Dupont Occupational Therapist 596 Sheldon Road, St Albans, VT 05478 2007-07-07
1467674580 James Robert Nelson Counselor 92 Fairfield Street, St. Albans, VT 05478 2007-05-02
1942429519 Odette Susan Taylor Physical Therapist 3 Home Health Circle, St Albans, VT 05478 2007-04-24
1558588418 Elizabeth Nelson Dmd PC Dentist 10 Mapleville Depot, St. Albans, VT 05478 2007-04-19
Find all providers in zip 05478

Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568584621 George Phillip White Jr. Preventive Medicine 106 West St, Rutland, VT 05701-3473 2007-04-06

Competitor

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City SAINT ALBANS
Zip Code 05478

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Dataset Information

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.

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