Green Mountain Internal Medicine Plc

LBN: Green Mountain Internal Medicine Plc
Green Mountain Internal Medicine Plc is an health care organization with primary practice located at 28 S Williams St , Burlington VT 05401-3486. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Green Mountain Internal Medicine Plc can be contacted via phone (802) 864-7080, or through Caise, Deborah via phone (802) 864-7080.

Contact Information

Primary practice address
28 S Williams St Burlington VT 05401-3486
Phone: (802) 864-7080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Caise, Deborah
Phone: (802) 864-7080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0010014 Vermont

Profile Details

NPI number 1558885988
LBN Legal business name Green Mountain Internal Medicine Plc
DBA Doing business as
Authorized official Caise, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2017
Last updated Jul 21st, 2022 - about 4 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 1558885988 NPPES
Vermont Other 211-49643 BLUE CROSS BLUE SHIELD
Vermont MEDICAID OVN2388 BLUE CROSS BLUE SHIELD

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