Bennington Family Practice Pllc

LBN: Bennington Family Practice Pllc
Bennington Family Practice Pllc is an health care organization with primary practice located at 339 Dewey St , Bennington VT 05201-2253. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bennington Family Practice Pllc can be contacted via phone (802) 447-1191, or through Ellingsen, Elizabeth J via phone (802) 447-1191.

Contact Information

Primary practice address
339 Dewey St Bennington VT 05201-2253
Phone: (802) 447-1191
Fax: (802) 442-6614
Website:
Map and Directions
Authorized official contact:
Name: Ellingsen, Elizabeth J MHA
Phone: (802) 447-1191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1700835741
LBN Legal business name Bennington Family Practice Pllc
DBA Doing business as
Authorized official Ellingsen, Elizabeth J MHA
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Sep 29th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700835741 NPPES
Vermont MEDICAID 8000038
Vermont MEDICAID 701100449

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