Brattleboro Retreat

LBN: Brattleboro Retreat
Brattleboro Retreat is an health care organization with primary practice located at Anna Marsh Lane , Brattleboro VT 05301. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Brattleboro Retreat can be contacted via phone (802) 257-7785, or through Broussard, Jennifer via phone (802) 258-4392.

Contact Information

Primary practice address
Anna Marsh Lane Brattleboro VT 05301
Phone: (802) 257-7785
Fax: (802) 258-3798
Website:
Map and Directions
Authorized official contact:
Name: Broussard, Jennifer
Phone: (802) 258-4392

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 649 Vermont

Profile Details

NPI number 1164627808
LBN Legal business name Brattleboro Retreat
DBA Doing business as
Authorized official Broussard, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1164627808 NPPES
Vermont MEDICAID 1007212

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