Twin River Urology

LBN: Twin River Urology
Twin River Urology is an health care organization with primary practice located at 108 No Main St Twin River Urology, White River Jct VT 05001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Twin River Urology can be contacted via phone (802) 296-7370, or through Detzer, Kathy L via phone (802) 296-7370.

Contact Information

Primary practice address
108 No Main St Twin River Urology White River Jct VT 05001
Phone: (802) 296-7370
Fax: (802) 296-7174
Website:
Map and Directions
Authorized official contact:
Name: Detzer, Kathy L
Phone: (802) 296-7370

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0420008456 Vermont
Allopathic & Osteopathic Physicians / Urology 208800000X 8746 New Hampshire

Profile Details

NPI number 1205941879
LBN Legal business name Twin River Urology
DBA Doing business as
Authorized official Detzer, Kathy L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 17th, 2007 - about 19 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 1205941879 NPPES
Vermont MEDICAID OVN0573
Vermont Other 0000301

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