| Porter Hospital Inc Dba Neshobe Family Medicine | |
|
61 Court Dr Neshobe Family Medicine Brandon VT 05733 | |
| (802) 247-3755 | |
| (802) 247-4560 |
| Full Name | Porter Hospital Inc Dba Neshobe Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 61 Court Dr, Brandon, Vermont |
| Authorized Official Name and Position | Steve Ciampa (CFO) |
| Authorized Official Contact | 8023884752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Porter Hospital Inc Dba Neshobe Family Medicine 104 Porter Dr Middlebury VT 05753-8527 Ph: (802) 388-5682 | Porter Hospital Inc Dba Neshobe Family Medicine 61 Court Dr Neshobe Family Medicine Brandon VT 05733 Ph: (802) 247-3755 |
| NPI Number | 1609896935 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609896935 | NPI | - | NPPES |
| 0VN1032 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Health Centers Of The Rutland Region, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Grove St, Brandon, VT 05733 Phone: 802-247-6305 Fax: 802-247-6040 |