Provider Demographics
NPI:1063471035
Name:NEW ENGLAND MEDICAL SYSTEMS, CO.
Entity Type:Organization
Organization Name:NEW ENGLAND MEDICAL SYSTEMS, CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-872-8888
Mailing Address - Street 1:5A DAVID DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05452-2805
Mailing Address - Country:US
Mailing Address - Phone:802-872-8888
Mailing Address - Fax:802-879-5334
Practice Address - Street 1:5A DAVID DR
Practice Address - Street 2:
Practice Address - City:ESSEX JCT
Practice Address - State:VT
Practice Address - Zip Code:05452-2805
Practice Address - Country:US
Practice Address - Phone:802-872-8888
Practice Address - Fax:802-879-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT691498OtherMVP
VT1005348Medicaid
VT28769OtherBLUE CROSS BLUE SHIELD
VT30760168OtherNH MEDICAID
VT1035620001Medicare ID - Type Unspecified