Brattleboro Retreat

LBN: Brattleboro Retreat
Brattleboro Retreat is an health care organization with primary practice located at 1 Anna Marsh Lane , Brattleboro VT 05302-0803. The organization recently has 7 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Hospitals / Psychiatric Hospital, Suppliers / Clinic Pharmacy, Suppliers / Institutional Pharmacy. Hospitals / Psychiatric Hospital is the primary health care specialty. Brattleboro Retreat can be contacted via phone (802) 257-7785, or through Rancourt, Doreen via phone (802) 258-6956.

Contact Information

Primary practice address
1 Anna Marsh Lane Brattleboro VT 05302-0803
Phone: (802) 257-7785
Fax: (802) 258-3723
Website:
Map and Directions
Authorized official contact:
Name: Rancourt, Doreen
Phone: (802) 258-6956

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Hospitals / Psychiatric Hospital 283Q00000X 649 Vermont
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1730185232
LBN Legal business name Brattleboro Retreat
DBA Doing business as
Authorized official Rancourt, Doreen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 2nd, 2023 - about last year

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 1730185232 NPPES
Vermont MEDICAID 0474001

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