Brookside Family Health Center, Pllc
LBN: Brookside Family Health Center, Pllc
Brookside Family Health Center, Pllc is an health care organization with primary practice located at 206 Commerce St , Hinesburg VT 05461-0416. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Brookside Family Health Center, Pllc can be contacted via phone (802) 482-3900, or through Giroux, Roger Joseph via phone (802) 482-3900.
Contact Information
Primary practice address
206 Commerce St
Hinesburg VT 05461-0416
Phone: (802) 482-3900
Fax: (802) 482-4159
Website:
Authorized official contact:
Name: Giroux, Roger Joseph Doctor of Medicine (MD)
Phone: (802) 482-3900
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 42-0008119 | Vermont |
Profile Details
| NPI number | 1952702219 |
|---|---|
| LBN Legal business name | Brookside Family Health Center, Pllc |
| DBA Doing business as | |
| Authorized official | Giroux, Roger Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 5th, 2014 |
| Last updated | Sep 5th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952702219 | NPPES |
| Vermont | MEDICAID | 9210 |
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