Healthcare Provider Details

I. General information

NPI: 1013840602
Provider Name (Legal Business Name): RUTLAND HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 ALLEN ST
RUTLAND VT
05701-4595
US

IV. Provider business mailing address

160 ALLEN ST
RUTLAND VT
05701-4595
US

V. Phone/Fax

Practice location:
  • Phone: 802-775-7111
  • Fax:
Mailing address:
  • Phone: 802-775-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BERTRAND
Title or Position: CFO
Credential:
Phone: 802-747-1601