Porter Hospital Inc Dba Little City Family Practice | |
10 North Street Little City Family Practice Vergennes VT 05491 | |
(802) 877-3466 | |
(802) 877-1188 |
Full Name | Porter Hospital Inc Dba Little City Family Practice |
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Speciality | Family Medicine |
Location | 10 North Street, Vergennes, Vermont |
Authorized Official Name and Position | Steve Ciampa (CFO) |
Authorized Official Contact | 8023884752 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Porter Hospital Inc Dba Little City Family Practice 104 Porter Dr Middlebury VT 05753-8527 Ph: (802) 388-5682 | Porter Hospital Inc Dba Little City Family Practice 10 North Street Little City Family Practice Vergennes VT 05491 Ph: (802) 877-3466 |
NPI Number | 1235159567 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 07/25/2013 |
Medicare PECOS PAC ID | 1850365180 |
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Medicare Enrollment ID | O20050620000111 |
Identifier | Type | State | Issuer |
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1235159567 | NPI | - | NPPES |
0VN1183 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Maja R Zimmermann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760471155 PECOS PAC ID: 5294790994 Enrollment ID: I20041122000936 |
Provider Name | Timothy D Bicknell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801885298 PECOS PAC ID: 6608884689 Enrollment ID: I20060403000347 |
Provider Name | William D Barrett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598754988 PECOS PAC ID: 0345304952 Enrollment ID: I20090127000251 |
Provider Name | Lewis Holmes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649269184 PECOS PAC ID: 5698879708 Enrollment ID: I20090203000125 |
Provider Name | Carrie C Wulfman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871582320 PECOS PAC ID: 9830256072 Enrollment ID: I20090316000279 |
Provider Name | Daniel Huber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164491221 PECOS PAC ID: 1759412109 Enrollment ID: I20120917000668 |
Provider Name | Karen L Fromhold |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609018621 PECOS PAC ID: 2567610561 Enrollment ID: I20120917000727 |
Porter Hospital Dba Vergennes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Armory Ln, Vergennes, VT 05491 Phone: 802-388-8808 Fax: 802-388-8322 |