Johnson Health Clinic | |
384 Lower Main W Johnson VT 05656-9632 | |
(802) 635-6689 | |
(802) 635-7435 |
Full Name | Johnson Health Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 384 Lower Main W, Johnson, Vermont |
Authorized Official Name and Position | Dorothy Malone-rising (OWNER) |
Authorized Official Contact | 8026356689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnson Health Clinic 384 Lower Main W Po Box 318 Johnson VT 05656-9632 Ph: (802) 635-6689 | Johnson Health Clinic 384 Lower Main W Johnson VT 05656-9632 Ph: (802) 635-6689 |
NPI Number | 1356543821 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356543821 | NPI | - | NPPES |
ONP0734 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 1010013373 (Vermont) | Primary |
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