| Porter Hospital Inc Dba Bristol Internal Medicine | |
|
6 Park Pl Bristol VT 05443-1229 | |
| (802) 453-7422 | |
| (802) 453-3071 |
| Full Name | Porter Hospital Inc Dba Bristol Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Park Pl, Bristol, Vermont |
| Authorized Official Name and Position | Steve Ciampa (CFO) |
| Authorized Official Contact | 8023885752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Hospital Inc Dba Bristol Internal Medicine 104 Porter Dr Middlebury VT 05753-8527 Ph: (802) 388-5682 | Porter Hospital Inc Dba Bristol Internal Medicine 6 Park Pl Bristol VT 05443-1229 Ph: (802) 453-7422 |
| NPI Number | 1093997249 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093997249 | NPI | - | NPPES |
| 1014490 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Mountain Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Mountain St, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Bristol Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park Pl, Bristol, VT 05443 Phone: 802-453-7422 | |
Mountain Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 61 Pine St, Bristol, VT 05443 Phone: 802-453-3911 Fax: 802-453-6105 |