| Lyndon State College | |
|
Lyndon State College 1001 College Road Lyndonville VT 05851 | |
| (802) 626-6440 | |
| (802) 626-6387 |
| Full Name | Lyndon State College |
|---|---|
| Speciality | Family Medicine |
| Location | Lyndon State College, Lyndonville, Vermont |
| Authorized Official Name and Position | Robert S Bean (DIRECTOR ACCOUNTING SERVICES) |
| Authorized Official Contact | 8026266200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndon State College Lyndon State College 1001 College Road Lyndonville VT 05851 Ph: (802) 626-6440 | Lyndon State College Lyndon State College 1001 College Road Lyndonville VT 05851 Ph: (802) 626-6440 |
| NPI Number | 1760601256 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760601256 | NPI | - | NPPES |
| 37048149 | Other | VT | BLUE CROSS BLUE SHIELD |
| 1007076 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Post Acute Specialists Of Vermont Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Red Village Rd, Lyndonville, VT 05851 Phone: 800-411-6768 | |
Nvrh Corner Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 Industrial Pkwy Ste 1, Lyndonville, VT 05851 Phone: 802-748-9501 Fax: 802-748-3420 |