Michaud Memorial Manor

LBN: Vermont Catholic Charities, Inc.
Michaud Memorial Manor is an health care organization with primary practice located at 47 Herrick Road , Derby Line VT 05830-8759. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Vermont Catholic Charities, Inc. can be contacted via phone (802) 873-3152, or through Payea, Denise M via phone (802) 658-6111.

Contact Information

Primary practice address
47 Herrick Road Derby Line VT 05830-8759
Phone: (802) 873-3152
Fax: (802) 864-7297
Website:
Map and Directions
Authorized official contact:
Name: Payea, Denise M
Phone: (802) 658-6111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0143 Vermont

Profile Details

NPI number 1518078666
LBN Legal business name Vermont Catholic Charities, Inc.
DBA Doing business as Michaud Memorial Manor
Authorized official Payea, Denise M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 29th, 2011 - about 15 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 1518078666 NPPES
Vermont MEDICAID 047W058
Vermont MEDICAID 047W096

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