| Northeast Kingdom Human Services, Inc | |
|
181 Crawford Rd Derby VT 05829 | |
| (802) 334-6744 | |
| Not Available |
| Full Name | Northeast Kingdom Human Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 181 Crawford Rd, Derby, Vermont |
| Authorized Official Name and Position | Anita Hodgeman (BILLING MANAGER) |
| Authorized Official Contact | 8023347451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Human Services, Inc Po Box 724 Newport VT 05855-0724 Ph: (802) 337-6744 | Northeast Kingdom Human Services, Inc 181 Crawford Rd Derby VT 05829 Ph: (802) 334-6744 |
| NPI Number | 1215811922 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 05/01/2026 |
| Certification Date | 05/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215811922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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