| Nvrh Corner Medical | |
|
195 Industrial Pkwy Ste 1 Lyndonville VT 05851-4511 | |
| (802) 748-9501 | |
| (802) 748-3420 |
| Full Name | Nvrh Corner Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 195 Industrial Pkwy Ste 1, Lyndonville, Vermont |
| Authorized Official Name and Position | Robert N Hersey (CFO) |
| Authorized Official Contact | 8027487520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nvrh Corner Medical Po Box 905 St Johnsbury VT 05819-0905 Ph: (802) 748-8141 | Nvrh Corner Medical 195 Industrial Pkwy Ste 1 Lyndonville VT 05851-4511 Ph: (802) 748-9501 |
| NPI Number | 1659459428 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/11/2020 |
| Medicare PECOS PAC ID | 3678481405 |
|---|---|
| Medicare Enrollment ID | O20070104000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659459428 | NPI | - | NPPES |
| 0473988 | Medicaid | VT | |
| 1014190 | Medicaid | VT | |
| 3076795 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 673 (Vermont) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 673 (Vermont) | Secondary |
Post Acute Specialists Of Vermont Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Red Village Rd, Lyndonville, VT 05851 Phone: 800-411-6768 | |
Lyndon State College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Lyndon State College, 1001 College Road, Lyndonville, VT 05851 Phone: 802-626-6440 Fax: 802-626-6387 |