Northern Express Care St. Johnsbury | |
1 Eastern Ave St Johnsbury VT 05819-2661 | |
(802) 748-9405 | |
Not Available |
Full Name | Northern Express Care St. Johnsbury |
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Speciality | Clinic/Center |
Location | 1 Eastern Ave, St Johnsbury, Vermont |
Authorized Official Name and Position | Meghan Elliott (HUMAN RESOURCES ASSISTANT) |
Authorized Official Contact | 8027489405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Express Care St. Johnsbury 165 Sherman Dr St Johnsbury VT 05819-9811 Ph: (802) 748-9405 | Northern Express Care St. Johnsbury 1 Eastern Ave St Johnsbury VT 05819-2661 Ph: (802) 748-9405 |
NPI Number | 1639783095 |
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Provider Enumeration Date | 09/03/2020 |
Last Update Date | 11/10/2020 |
Medicare PECOS PAC ID | 2860300936 |
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Medicare Enrollment ID | O20201102000284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639783095 | NPI | - | NPPES |
1009361 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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