Healthcare Provider Details

I. General information

NPI: 1982743969
Provider Name (Legal Business Name): SPRINGFIELD HOSPITAL .INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 RIDGEWOOD RD
SPRINGFIELD VT
05156-3050
US

IV. Provider business mailing address

25 RIDGEWOOD RD P.O. BOX 2003
SPRINGFIELD VT
05156-3050
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 Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number694
License Number StateVT

VIII. Authorized Official

Name: MR. THOMAS CRAWFORD
Title or Position: CEO
Credential: MBA
Phone: 802-885-2151