| Hearth Stone Internal Medicine, Llc | |
|
152 Grafton Rd Townshend VT 05353 | |
| (603) 667-6272 | |
| Not Available |
| Full Name | Hearth Stone Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 Grafton Rd, Townshend, Vermont |
| Authorized Official Name and Position | Alexandra J Van Dyck (PHYSICIAN OWNER) |
| Authorized Official Contact | 6036676272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearth Stone Internal Medicine, Llc 242 Wantastiquet Dr Brattleboro VT 05301-6041 Ph: (603) 667-6272 | Hearth Stone Internal Medicine, Llc 152 Grafton Rd Townshend VT 05353 Ph: (603) 667-6272 |
| NPI Number | 1669069126 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Medicare PECOS PAC ID | 2668887035 |
|---|---|
| Medicare Enrollment ID | O20210217000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669069126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexandra J Van Dyck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144424979 PECOS PAC ID: 9133389778 Enrollment ID: I20210217000368 |
Grace Cottage Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Grafton Rd., Townshend, VT 05353 Phone: 802-365-4331 | |
Telos, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Grafton Road, Townshend, VT 05353 Phone: 802-365-4318 |