Northeast Kingdom Human Services Inc Ds Waiver

LBN: Northeast Kingdom Human Services Inc Ds Waiver
Northeast Kingdom Human Services Inc Ds Waiver is an health care organization with primary practice located at 154 Duchess Ave , Newport VT 05855-5516. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Northeast Kingdom Human Services Inc Ds Waiver can be contacted via phone (802) 334-6744, or through Grims, Eric via phone (802) 334-6744.

Contact Information

Primary practice address
154 Duchess Ave Newport VT 05855-5516
Phone: (802) 334-6744
Fax: (802) 334-7340
Website:
Map and Directions
Authorized official contact:
Name: Grims, Eric
Phone: (802) 334-6744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1538292768
LBN Legal business name Northeast Kingdom Human Services Inc Ds Waiver
DBA Doing business as
Authorized official Grims, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 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 1538292768 NPPES
Vermont MEDICAID 6040016

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