Green Mountain Family Medicine

LBN: Mark E Logan Md Pc
Green Mountain Family Medicine is an health care organization with primary practice located at 199 Stratton Rd , Rutland VT 05701-4621. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Mark E Logan Md Pc can be contacted via phone (802) 775-7798, or through Logan, Mark E via phone (802) 775-7798.

Contact Information

Primary practice address
199 Stratton Rd Rutland VT 05701-4621
Phone: (802) 775-7798
Fax: (802) 775-7762
Website:
Map and Directions
Authorized official contact:
Name: Logan, Mark E Doctor of Medicine (MD)
Phone: (802) 775-7798

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 042-0006819 Vermont

Profile Details

NPI number 1003117078
LBN Legal business name Mark E Logan Md Pc
DBA Doing business as Green Mountain Family Medicine
Authorized official Logan, Mark E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Jan 12th, 2015 - about 10 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 1003117078 NPPES
Vermont MEDICAID 1018281

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