NPI Code Details Logo

NPI 1295868008

NPI 1295868008 : NORTH COUNTRY HOSPITAL & HEALTH CENTER INC : NEWPORT, VT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295868008
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NORTH COUNTRY HOSPITAL & HEALTH CENTER INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/13/2007
-----------------------------------------------------
    Last Update Date     |    09/12/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    81 MEDICAL VILLAGE DR STE 2 
-----------------------------------------------------
    City                 |    NEWPORT
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05855-9897
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-334-4110
-----------------------------------------------------
    Fax                  |    802-334-3281
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    81 MEDICAL VILLAGE DR SUITE 2
-----------------------------------------------------
    City                 |    NEWPORT
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05855-9836
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-334-4110
-----------------------------------------------------
    Fax                  |    802-334-4113
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ENROLLMENT SPECIALIST
-----------------------------------------------------
    Name                 |     DEBORAH L BROWN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    802-334-3210
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207V00000X
-----------------------------------------------------
    Taxonomy Name        |    Obstetrics & Gynecology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.