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Northeastern Vermont Regional Hospital Dietary Clinic

Northeastern Vermont Regional Hospital Dietary Clinic is a health care provider in St Johnsbury, VT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1315 Hospital Dr, St Johnsbury, VT 05819-9210, US
Practice Location Phone802-748-8141
Practice Location Fax802-748-4098
Legal Business NameNORTHEASTERN VERMONT REGIONAL HOSPITAL DIETARY CLINIC
NPI ?1720021181
Entity TypeOrganization
Enumeration Date ? Jun 14, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Northeastern Vermont Regional Hospital Dietary Clinic

SpecialtySpecializationLicenseLicense State
General Acute Care HospitalCritical Access 673Vermont

legacy-id-icon Legacy Provider IDs of Northeastern Vermont Regional Hospital Dietary Clinic

Provider IdIssuer StateIssuer TypeIssuer
00069029VermontOtherBLUECROSS BLUESHIELD VT

official-icon Authorized Official of Northeastern Vermont Regional Hospital Dietary Clinic

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Northeastern Vermont Regional Hospital Dietary Clinic's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Robert N Hersey
Authorized Official Title/PositionCFO
Authorized Official Phone Number802-748-8141