NORTHWESTERN MEDICAL CENTER, INC. – NPI #1417287665
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

NORTHWESTERN MEDICAL CENTER, INC. is an AHC clinic located in FAIRFAX, VT. NPPES has assigned the NPI number 1417287665 to NORTHWESTERN MEDICAL CENTER, INC. on January 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. NORTHWESTERN MEDICAL CENTER, INC. is also known by the name NORTHWESTERN MEDICAL CENTER/GEORGIA HEALTH CARE. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 8 years ago on Oct 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWESTERN MEDICAL CENTER, INC. below.

NPI Profile for
NORTHWESTERN MEDICAL CENTER, INC.

NPI Number
1417287665
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWESTERN MEDICAL CENTER, INC.
Other Name: NORTHWESTERN MEDICAL CENTER/GEORGIA HEALTH CARE
Other name(s)
All associated names:
Doing Business As (dba)
Northwestern Georgia Health Center
Other Name
Northwestern Medical Center/Georgia Health Care
Primary location
4178 HIGHBRIDGE RD
FAIRFAX, VT 05454-5446
Phone: (802) 752-1930 Fax: (802) 524-2867
Mailing address
133 FAIRFIELD ST
SAINT ALBANS, VT 05478-1726
Phone: (802) 524-5911 Fax: (802) 524-7021
Organization Subpart
No
Authorized Official
MARY PIGEON
CREDENTIALING SPECIALIST
Phone: (802) 524-8954
Updated
Identifiers

Identifiers for NORTHWESTERN MEDICAL CENTER, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVT1017250
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.