Northwestern Medical Center/Georgia Health Care

LBN: Northwestern Medical Center, Inc.
Northwestern Medical Center/Georgia Health Care is an health care organization with primary practice located at 4178 Highbridge Rd , Fairfax VT 05454-5446. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Northwestern Medical Center, Inc. can be contacted via phone (802) 752-1930, or through Pigeon, Mary E via phone (802) 524-8954.

Contact Information

Primary practice address
4178 Highbridge Rd Fairfax VT 05454-5446
Phone: (802) 752-1930
Fax: (802) 524-2867
Website:
Map and Directions
Authorized official contact:
Name: Pigeon, Mary E
Phone: (802) 524-8954

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1417287665
LBN Legal business name Northwestern Medical Center, Inc.
DBA Doing business as Northwestern Medical Center/Georgia Health Care
Authorized official Pigeon, Mary E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Oct 26th, 2018 - about 8 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 1417287665 NPPES
Vermont MEDICAID 1017250

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