Bennington Family Practice Pllc | |
339 Dewey St Bennington VT 05201-2253 | |
(802) 447-1191 | |
(802) 442-6614 |
Full Name | Bennington Family Practice Pllc |
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Speciality | Family Medicine |
Location | 339 Dewey St, Bennington, Vermont |
Authorized Official Name and Position | Elizabeth J Ellingsen (PRACTICE MANAGER) |
Authorized Official Contact | 8024471191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bennington Family Practice Pllc 339 Dewey St Bennington VT 05201-2253 Ph: (802) 447-1191 | Bennington Family Practice Pllc 339 Dewey St Bennington VT 05201-2253 Ph: (802) 447-1191 |
NPI Number | 1700835741 |
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Provider Enumeration Date | 05/08/2006 |
Last Update Date | 09/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700835741 | NPI | - | NPPES |
8000038 | Medicaid | VT | |
701100449 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Integrative Medical Associates Of Vermont, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Main St, Bennington, VT 05201 Phone: 802-445-3152 | |