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
Fax: (802) 482-4159
Website:
Authorized official contact:
Name: Giroux, Roger Joseph Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952702219 NPPES
Vermont MEDICAID 9210

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