Green Mountain Family Practice

LBN: Green Mountain Family Practice
Green Mountain Family Practice is an health care organization with primary practice located at 63 Crescent Ave , Northfield VT 05663-5704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Green Mountain Family Practice can be contacted via phone (802) 485-4161, or through Sullivan, Craig Demming via phone (802) 485-4161.

Contact Information

Primary practice address
63 Crescent Ave Northfield VT 05663-5704
Phone: (802) 485-4161
Fax: (802) 485-4163
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Craig Demming
Phone: (802) 485-4161

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1194701623
LBN Legal business name Green Mountain Family Practice
DBA Doing business as
Authorized official Sullivan, Craig Demming
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1194701623 NPPES
Vermont MEDICAID 0005666

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