Provider Demographics
NPI:1245034826
Name:HIGH MOUNTAIN CORPORATION
Entity type:Organization
Organization Name:HIGH MOUNTAIN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:802-775-2545
Mailing Address - Street 1:75 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4501
Mailing Address - Country:US
Mailing Address - Phone:802-775-2545
Mailing Address - Fax:802-773-2489
Practice Address - Street 1:75 ALLEN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4501
Practice Address - Country:US
Practice Address - Phone:802-775-2545
Practice Address - Fax:802-773-2489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGH MOUNTAIN CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy