| Laurie Anne Coombs Inc. | |
|
120 Merchants Row Rutland VT 05701-5911 | |
| (802) 282-1786 | |
| (802) 747-0095 |
| Full Name | Laurie Anne Coombs Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 120 Merchants Row, Rutland, Vermont |
| Authorized Official Name and Position | Laurie Anne Coombs (PRESIDENT) |
| Authorized Official Contact | 8022821786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Anne Coombs Inc. 85 Davis St Rutland VT 05701-3309 Ph: (802) 282-1786 | Laurie Anne Coombs Inc. 120 Merchants Row Rutland VT 05701-5911 Ph: (802) 282-1786 |
| NPI Number | 1992150759 |
|---|---|
| Provider Enumeration Date | 04/29/2016 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 8628350048 |
|---|---|
| Medicare Enrollment ID | O20170119002680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992150759 | NPI | - | NPPES |
| 1018310 | Medicaid | VT | |
| 0029313 | Other | VT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0048415 (Vermont) | Primary |
| Provider Name | Laurie A Coombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316059579 PECOS PAC ID: 9335390897 Enrollment ID: I20121108000578 |
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