Green Mountain Family Medicine
LBN: Green Mountain Family Medicine
Green Mountain Family Medicine is an health care organization with primary practice located at 199 Stratton Rd , Rutland VT 05701-4890. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty.
Green Mountain Family Medicine can be contacted via phone (802) 775-7798, or through Craft, Cristin Alexandria via phone (802) 775-7798.
Contact Information
Primary practice address
199 Stratton Rd
Rutland VT 05701-4890
Phone: (802) 775-7798
Fax: (802) 775-7762
Website:
Authorized official contact:
Name: Craft, Cristin Alexandria Advanced Practice Registered Nurse (APRN)
Phone: (802) 775-7798
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 101.0100410 | Vermont |
Profile Details
| NPI number | 1851712657 |
|---|---|
| LBN Legal business name | Green Mountain Family Medicine |
| DBA Doing business as | |
| Authorized official | Craft, Cristin Alexandria Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2013 |
| Last updated | Dec 20th, 2013 - about 12 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 | 1851712657 | NPPES |
| Vermont | MEDICAID | 1018281 |
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