Green Mountain Urology Inc

LBN: Green Mountain Urology Inc
Green Mountain Urology Inc is an health care organization with primary practice located at 792 College Pkwy Suite302, Colchester VT 05446-3052. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Green Mountain Urology Inc can be contacted via phone (802) 655-4900, or through Grunert, Richard T via phone (802) 655-4900.

Contact Information

Primary practice address
792 College Pkwy Suite302 Colchester VT 05446-3052
Fax: (802) 655-5017
Website:
Authorized official contact:
Name: Grunert, Richard T Doctor of Medicine (MD)

Health care specialties

Profile Details

NPI number 1730160532
LBN Legal business name Green Mountain Urology Inc
DBA Doing business as
Authorized official Grunert, Richard T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 25th, 2010 - about 16 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 1730160532 NPPES
Vermont MEDICAID 0VN0583

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