Ethan Allen Medical Center

LBN: Richard D Morrison
Ethan Allen Medical Center is an health care organization with primary practice located at 28 Vermont Ave , Colchester VT 05446-3125. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Richard D Morrison can be contacted via phone (802) 655-1122, or through Morrison, Richard D via phone (802) 655-1122.

Contact Information

Primary practice address
28 Vermont Ave Colchester VT 05446-3125
Fax: (802) 655-1124
Website:
Authorized official contact:
Name: Morrison, Richard D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420002588 Vermont

Profile Details

NPI number 1659408839
LBN Legal business name Richard D Morrison
DBA Doing business as Ethan Allen Medical Center
Authorized official Morrison, Richard D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 6th, 2007 - about 18 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 1659408839 NPPES
Vermont Other BX4049 MEDICARE PTAN
Vermont MEDICAID 0004561 MEDICARE PTAN
Vermont Other 00004561 MEDICARE PTAN
Vermont Other VT4561 MEDICARE PTAN
Vermont Other 4656001 MEDICARE PTAN

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