Northeast Kingdom Human Services Inc Csub

LBN: Northeast Kingdom Human Services Inc Csub
Northeast Kingdom Human Services Inc Csub is an health care organization with primary practice located at 55 Seymour Ln , Newport VT 05855-2199. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Northeast Kingdom Human Services Inc Csub can be contacted via phone (802) 334-5246, or through Grims, Eric via phone (802) 334-6744.

Contact Information

Primary practice address
55 Seymour Ln Newport VT 05855-2199
Phone: (802) 334-5246
Fax: (802) 334-1093
Website:
Map and Directions
Authorized official contact:
Name: Grims, Eric
Phone: (802) 334-6744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1881727543
LBN Legal business name Northeast Kingdom Human Services Inc Csub
DBA Doing business as
Authorized official Grims, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881727543 NPPES
Vermont MEDICAID 6060008

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