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25 Common Road Cabot VT 05647-0999 | |
(802) 563-2118 | |
(802) 454-8339 |
Full Name | |
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Speciality | Clinic/Center |
Location | 25 Common Road, Cabot, Vermont |
Authorized Official Name and Position | Deborah Macritchie (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8024548336 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P O Box 320 Plainfield VT 05667-0320 Ph: (802) 454-8336 | 25 Common Road Cabot VT 05647-0999 Ph: (802) 563-2118 |
NPI Number | 1902008485 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 02/12/2021 |
Medicare PECOS PAC ID | 7416960265 |
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Medicare Enrollment ID | O20060720000131 |
Identifier | Type | State | Issuer |
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1902008485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |