Nvrh Kingdom Internal Medicine

LBN: Northeastern Vermont Regional Hospital Inc
Nvrh Kingdom Internal Medicine is an health care organization with primary practice located at 714 Breezy Hill Road , St Johnsbury VT 05819-0905. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Northeastern Vermont Regional Hospital Inc can be contacted via phone (805) 748-7500, or through Hersey, Robert N via phone (802) 748-7520.

Contact Information

Primary practice address
714 Breezy Hill Road St Johnsbury VT 05819-0905
Phone: (805) 748-7500
Fax: (802) 745-1188
Website:
Map and Directions
Authorized official contact:
Name: Hersey, Robert N
Phone: (802) 748-7520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 785 Vermont

Profile Details

NPI number 1871870899
LBN Legal business name Northeastern Vermont Regional Hospital Inc
DBA Doing business as Nvrh Kingdom Internal Medicine
Authorized official Hersey, Robert N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2011
Last updated Feb 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871870899 NPPES
New Hampshire MEDICAID 3076793
New Hampshire MEDICAID 0473991
New Hampshire MEDICAID 1020004

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