| Goodhealth P.c. | |
|
368 Dorset St Suite 1 South Burlington VT 05403-6212 | |
| (802) 860-1441 | |
| Not Available |
| Full Name | Goodhealth P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 368 Dorset St, South Burlington, Vermont |
| Authorized Official Name and Position | Mark Pitcher (TREASURER) |
| Authorized Official Contact | 8028601441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodhealth P.c. 368 Dorset St Suite 1 South Burlington VT 05403-6212 Ph: (802) 860-1441 | Goodhealth P.c. 368 Dorset St Suite 1 South Burlington VT 05403-6212 Ph: (802) 860-1441 |
| NPI Number | 1487602868 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487602868 | NPI | - | NPPES |
| 0VN2426 | Medicaid | VT | |
| CB4933 | Other | VT | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 47D1068228 (Vermont) | Secondary |
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