Healthcare Provider Details

I. General information

NPI: 1033225875
Provider Name (Legal Business Name): SPRINGFIELD HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 RIDGEWOOD ROAD
SPRINGFIELD VT
05156
US

IV. Provider business mailing address

25 RIDGEWOOD ROAD
SPRINGFIELD VT
05156
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-2151
  • Fax:
Mailing address:
  • Phone: 802-885-2151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number694
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number694
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number694
License Number StateVT
# 5
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number694
License Number StateVT
# 6
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number694
License Number StateVT
# 7
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number694
License Number StateVT
# 8
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 9
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 10
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number774
License Number StateVT

VIII. Authorized Official

Name: KAYDA WESCOTT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 802-885-7646