Green Mountain Radiology

LBN: Green Mountain Radiology
Green Mountain Radiology is an health care organization with primary practice located at 130 Fisher Rd Central Vermont Hospital, Berlin VT 05602-9516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Green Mountain Radiology can be contacted via phone (802) 371-4249, or through Johnson, Robert Dale via phone (802) 371-4249.

Contact Information

Primary practice address
130 Fisher Rd Central Vermont Hospital Berlin VT 05602-9516
Phone: (802) 371-4249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Robert Dale Doctor of Medicine (MD)
Phone: (802) 371-4249

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1518059039
LBN Legal business name Green Mountain Radiology
DBA Doing business as
Authorized official Johnson, Robert Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 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 1518059039 NPPES
Vermont MEDICAID 0005061
Vermont Other GREE00005061

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