Bertha Church Inc

LBN: Bertha Church Inc
Bertha Church Inc is an health care organization with primary practice located at 32 Church Street , Burlington VT 05401. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Bertha Church Inc can be contacted via phone (802) 658-2991, or through Racine, Jeanette B via phone (802) 658-2991.

Contact Information

Primary practice address
32 Church Street Burlington VT 05401
Phone: (802) 658-2991
Fax: (802) 658-2992
Website:
Map and Directions
Authorized official contact:
Name: Racine, Jeanette B
Phone: (802) 658-2991

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1558489971
LBN Legal business name Bertha Church Inc
DBA Doing business as
Authorized official Racine, Jeanette B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Nov 19th, 2007 - about 17 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 1558489971 NPPES
Vermont MEDICAID 0007272

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