| State Of Vermont - Department For Children & Families | |
|
103 S Main St Osgood I Waterbury VT 05671-9800 | |
| (802) 241-2252 | |
| (802) 241-1106 |
| Full Name | State Of Vermont - Department For Children & Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 S Main St, Waterbury, Vermont |
| Authorized Official Name and Position | Debra Drapp (CHIEF MEDICAID ACCOUNTANT) |
| Authorized Official Contact | 8022412344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Vermont - Department For Children & Families 103 S Main St Osgood I Waterbury VT 05671-9800 Ph: (802) 241-2252 | State Of Vermont - Department For Children & Families 103 S Main St Osgood I Waterbury VT 05671-9800 Ph: (802) 241-2252 |
| NPI Number | 1346339702 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346339702 | NPI | - | NPPES |
| 1005104 | Medicaid | VT | |
| 1007204 | Medicaid | VT | |
| 1004209 | Medicaid | VT | |
| 1007032 | Medicaid | VT | |
| 1005103 | Medicaid | VT | |
| 1008353 | Medicaid | VT | |
| 1004694 | Medicaid | VT | |
| 1004853 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Vermont) | Primary |
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