| NPI | 1487732301 |
|---|---|
| Doing Business As | NVRH ST. JOHNSBURY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROBERT N HERSEY CFO 802-748-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: VT 673) |
| 261QR1300X Clinic/Center, Rural Health (Licence: VT 673) | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-02-11 |