| Southern Vermont Health Services Corp | |
|
17 Belmont Ave Att'n: Marilyn Boudreau Brattleboro VT 05301-6613 | |
| (802) 257-8382 | |
| (802) 251-8466 |
| Full Name | Southern Vermont Health Services Corp |
|---|---|
| Speciality | General Practice |
| Location | 17 Belmont Ave, Brattleboro, Vermont |
| Authorized Official Name and Position | Marilyn J Boudreau (DIRECTOR, PATIENT FINANCIAL SVCS) |
| Authorized Official Contact | 8022578382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Vermont Health Services Corp 17 Belmont Ave Att'n: Marilyn Boudreau Brattleboro VT 05301-6613 Ph: (802) 257-8382 | Southern Vermont Health Services Corp 17 Belmont Ave Att'n: Marilyn Boudreau Brattleboro VT 05301-6613 Ph: (802) 257-8382 |
| NPI Number | 1952319220 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952319220 | NPI | - | NPPES |
| 1013172 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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