| Bristol Internal Medicine, Pc | |
|
6 Park Pl Bristol VT 05443-1229 | |
| (802) 453-7422 | |
| Not Available |
| Full Name | Bristol Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Park Pl, Bristol, Vermont |
| Authorized Official Name and Position | Kevin J Mulholland (PRESIDENT, MED DIRECTOR) |
| Authorized Official Contact | 8024537422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Internal Medicine, Pc Po Box 415 Bristol VT 05443-0415 Ph: (802) 453-7422 | Bristol Internal Medicine, Pc 6 Park Pl Bristol VT 05443-1229 Ph: (802) 453-7422 |
| NPI Number | 1235182247 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235182247 | NPI | - | NPPES |
| 68277 | Other | VT | BC BS OF VT |
| 0VN3487 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Mountain Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mountain St, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Porter Hospital Inc Dba Bristol Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7422 Fax: 802-453-3071 | |
Mountain Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Pine St, Bristol, VT 05443 Phone: 802-453-3911 Fax: 802-453-6105 |