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1720042203

NPI Code Detail

MEDICARE: RUTLAND HOSPITAL, INC.

MEDICARE: RUTLAND HOSPITAL, INC.

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	273R00000X	Psychiatric Hospital Unit	772	VT
2	282N00000X	General Acute Care Hospital	676	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48364	OTHER	VT	BC DIABETES PROV #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5834	OTHER	VT	BC CARDIOLOGY PROV #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	4361	OTHER	VT	BLUE CROSS ED PROV #
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720042203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTLAND HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	160 ALLEN ST
Second Line	:
City	:	RUTLAND
State	:	VT
Zip	:	05701-4560
Country	:	US
Telephone Number	:	802-775-7111
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 ALLEN ST
Second Line	:
City	:	RUTLAND
State	:	VT
Zip	:	05701-4560
Country	:	US
Telephone Number	:	802-747-1630
Fax Number	:	802-775-7214

Authorized Official
Title or Position	:	CFO
Name	:	JENNIFER BERTRAND
Credential	:
Telephone Number	:	802-775-7111

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/19/2026

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Directions to “RUTLAND HOSPITAL, INC. ” Practice Location

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