| Baart Programs St. Johnsbury | |
|
1097 Hospital Dr St Johnsbury VT 05819-9242 | |
| (214) 379-3398 | |
| (802) 748-3316 |
| Full Name | Baart Programs St. Johnsbury |
|---|---|
| Speciality | Clinic/Center |
| Location | 1097 Hospital Dr, St Johnsbury, Vermont |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baart Programs St. Johnsbury 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Baart Programs St. Johnsbury 1097 Hospital Dr St Johnsbury VT 05819-9242 Ph: (214) 379-3398 |
| NPI Number | 1013055110 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1153456306 |
|---|---|
| Medicare Enrollment ID | O20150218000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013055110 | NPI | - | NPPES |
| Provider Name | John R Brooklyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640635 PECOS PAC ID: 5193775419 Enrollment ID: I20050125000529 |
| Provider Name | Susan G. Taney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174589097 PECOS PAC ID: 7618163106 Enrollment ID: I20101123000584 |
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