Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 26 Cedar Lane, Danville, Vermont |
Authorized Official Name and Position | Patrick Flood (EXECUTIVE DIRECTOR/CEO) |
Authorized Official Contact | 8027489405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
165 Sherman Drive St Johnsbury VT 05819 Ph: (802) 748-9405 | 26 Cedar Lane Danville VT 05819 Ph: (802) 684-2275 |
NPI Number | 1255458501 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 01/30/2014 |
Medicare PECOS PAC ID | 2860300936 |
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Medicare Enrollment ID | O20100827000422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255458501 | NPI | - | NPPES |
0473803 | Medicaid | VT | |
471802 | Other | VT | MEDICARE PROVIDER NUMBER |
Vicente T Falgui Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 Main Street, Suite 204, Danville, VT 24541 Phone: 434-791-4648 Fax: 434-793-2631 |