Provider Demographics
NPI:1578592606
Name:NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Entity Type:Organization
Organization Name:NORTH COUNTRY HOSPITAL & HEALTH CENTER INC
Other - Org Name:NORTH COUNTRY ORTHOPAEDIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENROLLMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-334-3210
Mailing Address - Street 1:81 MEDICAL VILLAGE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9835
Mailing Address - Country:US
Mailing Address - Phone:802-334-4175
Mailing Address - Fax:802-334-4176
Practice Address - Street 1:81 MEDICAL VILLAGE DR STE 1
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-9897
Practice Address - Country:US
Practice Address - Phone:802-334-4175
Practice Address - Fax:802-334-4176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH COUNTRY HOSPITAL & HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-01
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30211600OtherMEDICAID
VT1008210Medicaid
VT1009792Medicaid
VTCA2318OtherRAILROAD MEDICARE
VTNORT00058350OtherBLUE SHIELD
NH30211600OtherMEDICAID
VTNORT00058350OtherBLUE SHIELD
VT1009792Medicaid