Champlain Valley Urgent Care, Pc

LBN: Champlain Valley Urgent Care, Pc
Champlain Valley Urgent Care, Pc is an health care organization with primary practice located at 7 Fayette Dr , South Burlington VT 05403-6977. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Champlain Valley Urgent Care, Pc can be contacted via phone (802) 865-3655, or through Fitzgerald, Timothy via phone (802) 865-3655.

Contact Information

Primary practice address
7 Fayette Dr South Burlington VT 05403-6977
Phone: (802) 865-3655
Fax: (802) 865-3626
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Timothy Doctor of Osteopathy (DO)
Phone: (802) 865-3655

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1902990674
LBN Legal business name Champlain Valley Urgent Care, Pc
DBA Doing business as
Authorized official Fitzgerald, Timothy Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1902990674 NPPES
Vermont Other 58634 BCBS OF VT GROUP NUMBER

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