MEDICARE: WINDSOR HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	703	VT
2	207W00000X	Ophthalmology Physician	703	VT
3	208000000X	Pediatrics Physician	703	VT
4	207Q00000X	Family Medicine Physician	703	VT
5	207R00000X	Internal Medicine Physician	703	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295832400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDSOR HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	32 PLEASANT ST
Second Line	:
City	:	WOODSTOCK
State	:	VT
Zip	:	05091-1122
Country	:	US
Telephone Number	:	802-457-3030
Fax Number	:	802-457-2157

Provider Business Practice Location Address
First Line	:	32 PLEASANT ST
Second Line	:
City	:	WOODSTOCK
State	:	VT
Zip	:	05091-1122
Country	:	US
Telephone Number	:	802-457-3030
Fax Number	:	802-457-2157

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JANINE HODGE
Credential	:
Telephone Number	:	802-457-5405

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/01/2018

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Directions to “WINDSOR HOSPITAL CORPORATION ” Practice Location

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