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97 Sherman Drive St Johnsbury VT 05819-9280 | |
(802) 748-5131 | |
(802) 748-4237 |
Full Name | |
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Speciality | Clinic/Center |
Location | 97 Sherman Drive, St Johnsbury, Vermont |
Authorized Official Name and Position | Robert N Hersey (CFO) |
Authorized Official Contact | 8027487520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1315 Hospital Drive Po Box 905 St Johnsbury VT 05819-9210 Ph: (802) 748-8141 | 97 Sherman Drive St Johnsbury VT 05819-9280 Ph: (802) 748-5131 |
NPI Number | 1487732301 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 02/11/2020 |
Medicare PECOS PAC ID | 3678481405 |
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Medicare Enrollment ID | O20070104000286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487732301 | NPI | - | NPPES |
3076791 | Medicaid | NH |
David S Brody, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Hospital Dr, Suite 2, St Johnsbury, VT 05819 Phone: 802-748-2123 |