Provider Demographics
NPI:1942651328
Name:NORTH COUNTRY HOSPITAL
Entity Type:Organization
Organization Name:NORTH COUNTRY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIMBECK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:802-334-3260
Mailing Address - Street 1:81 MEDICAL VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-9897
Mailing Address - Country:US
Mailing Address - Phone:802-334-3260
Mailing Address - Fax:
Practice Address - Street 1:81 MEDICAL VILLAGE DR
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:802-334-3260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0056918282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital